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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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