This will register an individual or family of pullers for one year of membership and participation at all MMTMRPA meetings and pulling events. MMTMRPA yearly membership dues is $100.00 per individual, or $75.00 per family. And being the MMTMRPA is not-for-profit organization, monetary contributions and donations would be appreciated to help cover insurance costs and various other operating expenses of the club. Please read, print out and fill out this form. Please make checks payable to MMTMRPA. Return to MMTMRPA Home Page
Name (Owner of Compact Truck or Mini Rod):__________________________________________________________________________
Address:____________________________________________City:_______________________________State_________ Zip:____________
Home Phone:_____________________________________________Cell Phone:_______________________________________________
Emergency Contact:________________________________________________________________________________________________
Email Address(es):_________________________________________________________________________________________________
| Please check one: Compact Truck [_] Mini Rod [_]
Driver/Puller Name:____________________________________________ Name of Pulling Vehicle:________________________________________ Year, Make, Model & Engine Size:________________________________ Class:_______________________________________________________ |
Please check one: Compact Truck [_] Mini Rod [_]
Driver/Puller Name:____________________________________________ Name of Pulling Vehicle:________________________________________ Year, Make, Model & Engine Size:________________________________ Class:_______________________________________________________ |
| Please check one: Compact Truck [_] Mini Rod [_]
Driver/Puller Name:____________________________________________ Name of Pulling Vehicle:________________________________________ Year, Make, Model & Engine Size:________________________________ Class:_______________________________________________________ |
Please check one: Compact Truck [_] Mini Rod [_]
Driver/Puller Name:____________________________________________ Name of Pulling Vehicle:________________________________________ Year, Make, Model & Engine Size:________________________________ Class:_______________________________________________________ |
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