2022 Midwest Winter Nationals 10,000 Pro Farm Registration Form

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Terms and Conditions* This field is required.Please read over the rules and regulations for your class by clicking rules and regulations. Once you have read over the rules for your class please check the box that you agree to continue the form. By clicking the box, you agree to all the rules and regulations for the 2022 Midwest Winter Nationals Each puller gets 2 all weekend pit passes. Add any extra pit pass to your cart to receive them in advance. Due to a time constraint set by the building owners each day, we have a predetermined number for each class. Once the class is FULL, registration will close. We will have a standby list and we will make adjustments if numbers for some classes are not met. If you are entering multiples vehicles you will need to register each vehicle separately. If you are entering in multiple classes you will need to enter each class separately. Registration Schedule: Early Bird Price thru October 6th = $185 October 7th thru 27th = $210 October 28th thru Nov. 17th = $235 After Nov. 18th = $250 Thanks! Whatssmokin Promotion Team
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Registration Name* This field is required.
First Name
Last Name
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Address* This field is required.
Street Address
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State / Province
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The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
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Benin
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Brazil
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Canada
Cape Verde
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Chile
China
Christmas Island
Cocos (Keeling) Islands
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Cuba
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Denmark
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Egypt
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Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
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Guadeloupe
Guam
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Guernsey
Guinea
Guinea-Bissau
Guyana
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Hungary
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India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
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Kenya
Kiribati
North Korea
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Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
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Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
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South Ossetia
South Sudan
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Sudan
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eSwatini
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Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
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Tunisia
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Email* This field is required.
example@example.com
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Phone Number* This field is required.
Area Code
Phone Number
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Vehicle Name* This field is required.Name of your pulling vehicle
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Vehicle Make/Model* This field is required.Year make/model of your pulling vehicle
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Occupation* This field is required.
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Hobbies* This field is required.List your hobbies outside of pulling
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Recent Pulling Accomplishments* This field is required.List your most recent pulling accomplishments
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Upload Photo (Optional)Add a recent pulling photo to use as your entry profile. We will use current one on file if one is not uploaded.
Drag and drop files here
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Max. file size: 10.6MB
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Clutch PaperworkPrint off, fill out & have your clutch paperwork notarized. Please download or print off the form before submitting. (You can get this notarized at your local post office, bank, or city hall.) Send the completed form back in order to finalize your registration. EVERY Puller must have a 2022 clutch paper notarized and on file to pull. NO EXCEPTIONS. You WILL NOT be entered until we receive this back. Thanks
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Terms and Conditions* This field is required.

Registration Fee & Extra Pit Passes* This field is required.Each puller gets 2 all weekend pit passes. Add any extra pit pass to your cart to receive them in advance. If you are entering multiples vehicles you will need to register each vehicle separately. If you are entering in multiple classes you will need to enter each class separately. Registration Schedule: Early Bird Price thru October 6th = $185 October 7th thru 27th = $210 October 28th thru Nov. 17th = $235 After Nov. 18th = $250 Click on the numbers to move thru your options to add to your cart. 1. Driver & Vehicle Registration Fee (Required) 2. Test & Tune (Optional) 3. Extra Pit Passes (Optional) 4. Water Injection Water

My Cart

Driver & Vehicle Registration Fee
Each entrance will receive 2 all weekend pit passes. Please add any extra pit passes if needed.
$235.00Edit
Back

Water Injection Water
The ONLY water allowed during the Midwest Winter Nationals. They are 2.5 gallon jugs.
$15.00Edit
Back
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Quantity

Extra Pit Passes	Quantity	Price
Thursday	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50	$60.00
Friday	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50	$60.00
Saturday	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50	$60.00
Weekend Pass	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50	$160.00

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