2010 Mid-Missouri Truck
and Tractor
Pulling Association
Membership Form
Name_____________________ Address___________________
City________________ State__________ Zip___________
Home
Phone____________________
Cell
Phone______________________
E-mail
Address______________________________
SSN____________________
Vehicle
Info:
Year_________
Make______________
Model_______________
Classes
Pulled_______________________________________
Signing
this membership form you are agreeing to follow and obey MMTTPA Rules and
Regulations.
Signature
of Owner________________________Date_________
Primary
Membership $100.00___________
Associate
Membership $50.00__________
Please
Mail Membership Form along with Money to:
Ronnie
Albertson
72 Catfish
Rd.
Tuscumbia
Mo, 65082