Anyone wishing to join KOTTPA for the 2011 season may print this form and mail it to: 

David and Candi Burton

4885 Hwy 235

Nancy Ky 42544

Please include membership dues of $100 before Feburary 1, $125 after April 1 or $150 after April 1st.

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):_____________________