2000 YEARLY MEMBERSHIP FORM

Renewal yearly memberships for 2000 must be sent in before April 1, 2000. Renewal yearly memberships sent in after April 1, 2000 will be assessed a $10.00 penalty. Yearly membership dues for 2000 are $30.00 for primary membership and $15.00 for each additional person in that family living in that home.

There is NO deadline or penalty for NEW memberships although they must be paid before the first pull in order to receive points for the first pull.



NAME:________________________________________________________________________________
ADDRESS: _____________________________________________________________________________
PHONE: ________________________________ SINGLE: ____________ MARRIED: ______________
SPOUSE'S NAME: ______________________________ SPOUSE'S BIRTHDAY: _________________
YOUR BIRTHDAY: _____________________________ ANNIVERSARY: _______________________
PLEASE CHECK CLASSES YOU WILL BE PULLING IN:
__________TRACTORS MAKE & SIZE OF MOTOR: _________________________
__________ OPENS MAKE & SIZE OF MOTOR: _________________________
SIGNATURE: _______________________________________________
DATE: ________________________________________________
SINGLE MEMBERSHIP: $30.00 ________________________
ADDITIONAL MEMBERSHIP(S): X $15.00 ________________________
TOTAL ENCLOSED ________________________
When you mail in your yearly membership dues, PLEASE fill out the form above and mail it with your yearly membership dues. Thank you.

Mail form and dues to: STRASBURG PULLERS
PO BOX 134
STRASBURG, OHIO 44680

Remember RENEWAL memberships must be mailed by April 1, 2000 or a $10.00 penalty will be assessed.

NEW memberships must be paid before the first pull to earn points.