Michindoh Pulling Association

Membership Application

* Required Information

Name: 

 
 *
 
 
 *
First

MI

Last

Phone: 

 
 - 
 
 - 
 
 *

Cell: 

 
 - 
 
 - 
 

E-Mail:  

 
 *

Address: 

 
 *

City: 

 
 *

State:  

 
 *

Zip Code:  

 
 *

Are you a current member: 

Yes  No

Years Pulling:  

 

Coat Size:  

 

Point Standings for last year:  

 

Truck/Tractor Name:  

 

Classes * - Check all classes that apply

6,000 lb. Street 4x4
7,500 lb. Diesel
6,200 lb. Super Stock 2wd 10,000 lb. Pro Farm Tractors
6,200 lb. Pro-Stock 4wd 11,500 lb. Pro Farm Tractors
6,200 lb. 4wd Altered Stock Open

Signature:  

 

Date:  

 

Membership Fees

All drivers must pay a yearly $50.00 Michindoh membership fee by May 1, 2004. After May 1, 2004,the membership fee will be $60.00. Everyone except the street class will pay a yearly membership. Every vehicle will pay an additional $5.00 for administration fees per event, except street class. Only those who have paid their membership fee in full will have the right to vote on rules.

Make checks payable to: 

Michindoh Pulling Association 

Mail To:  Tammy Oliver
2627 West 100 North
Monroe, Indiana 46772

Print Application


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