WTPA Membership Form

WTPA Membership Form
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Checks should be payable to:
Social Security Number or FED ID#
Membership

Competition Membership $125.00Tech Official
Class Information

Light Super Stock TractorsSuper Farm TractorsLight Pro Stock TractorsLight Limited Super Stock TractorsLimited Pro Stock TractorsPro FarmModified TractorsModified Mini TractorsTwo Wheel Drive trucksFour Wheel Drive TrucksSuper Stock 4x4 Trucks2.6 Diesel 4x4 TrucksOther
Engine/Model
Vehicle Name
Team Name
Please may checks payable to WTPA. Please mail checks to:

Anne Hagel

WTPA Secretary

W6432 Cty Rd D

Holmen, WI 54636
Should be Empty: