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Rocky Mountain Tractor Pullers Association - DOC

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					        Rocky Mountain Tractor Pullers Association
                           Membership - Registration Form 2010



MEMBERSHIP:


Dues:        1 Adult - $20.00 (includes all children in family under the age of 18)
             2 Adults - $30.00 (includes all children in family under the age of 18)

                                                                                       For Official Use Only:
DRIVER:
                                                                         Driver # Assigned:
ADDRESS:

CITY:                                              STATE:                            ZIP:
Daytime Phone:        (        )         -          Evening Phone:            (       )           -

E-mail Address Please PRINT:                                @

AMOUNT ENCLOSED:                     $       .00         DATE RECEIVED BY CLUB



TRACTOR REGISTRATION:
(Please list below the tractor(s) YOU normally pull at any of our scheduled pulls. Please use a
separate Registration Form for each driver.)

                                                                                                 For Official Use Only:
        MAKE                       MODEL                  YEAR              SERIAL #              Tractor # Assigned




                          Please Forward Your Completed Registration Form(s) to:
                 (A new registration form is needed if you add additional tractors, drivers, etc.)

                                   Rocky Mountain Tractor Puller’s Association
                                             3645 Pinehurst Circle
                                          Colorado Springs, Co 80908

				
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