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Anyone wishing to join KOTTPA for the 2008 season may print this form and mail it to: Patricia Shive 1854 Pleasant Grove Church Rd. Edmonton Ky. 42129 Please include membership dues of $100 before April 1, or $125 after April 1. Checks may be made payable to KOTTPA Pullers Form
Name:_________________________________________ Address:_______________________________________ Phone Number:__________________________________ Date :__________________________________________ Truck Name:_____________________________________ Class Entering:___________________________________ Number of Years Pulling:___________________________ Signature:_______________________________________ Member Number (if applicable):_____________________ KOTTPA will be doing a pullers directory this year, it will include the Pullers Name, Address, Phone Number, and Truck Name. Please
indicate if you would like to be included in this directory.
Yes____
No_____
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