Member Information:
Name:_______________________________________________________________ City:___________________________ Phone#:_______________________________
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Tractor Information:
Year:______________ Make:_______________________ Model:_______________ |
Classes to Pull at Championship Pull: (limit two)
Division:____________ Weight Class:____________ Division:____________ Weight Class:____________ Please enclose a check made Payable to NATPA of NE for:
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Do you plan to attend the reception Saturday Evening October 28th?
Number planning to attend______________ This will give us an estimate of attendance so we may insure having enough food. |
Classes to use for Points: (limit two)
Division:____________ Weight Class:____________ Division:____________ Weight Class:____________ |
If you have more that 1 tractor to sign up, please print out more copies of this form as it will be easier for the book keeping with just one tractor per sheet. Thank-you!!!
Return this form to:
Michelle Biel
2571 18th Road
Central City Ne 68826