Michindoh Pulling Association

Membership Application

* Required Information

Name:

First

Last

Phone:

Cell:

E-Mail:

Address:

City:

State:

Zip Code:

Are you a current member:

Yes

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