(FIRST)

(LAST)

ADDRESS

CITY

STATE

PHONE NO.

TRACTOR YEAR

MAKE & MODEL

MARK AN "X" ON THE LEFT SIDE OF THE CLASSES YOU WISH TO HOOK

Division II

Division III

Division IV

Division V

#

X

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X

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X

#

X

___________2500______    ___________3500______    ___________4000______    ___________4500______  ___________5000______  ___________5500______  ___________6000______  ___________6500______  ___________7500______  ___________8500______  ___________9000______      ___________3250______  ___________3500______  ___________3750______  ___________4000______  ___________4250______  ___________4500______  ___________5000______  ___________5500______  ___________6000______  ___________6500______  ___________7500______  ___________8500______        ___________3250______  ___________3500______  ___________3750______  ___________4000______  ___________4250______  ___________4500______  ___________5000______  ___________5500______  ___________6000______  ___________6500______  ___________7500______  ___________8500______          ___________3500______  ___________3750______  ___________4000______    ___________4500______  ___________5000______  ___________5500______  ___________6000______  ___________6500______  ___________7500______  ___________8500______    PLEASE SIGN REVERSE SIDE OF THIS FORM