Mid-South Pullers Association 2008 Registration Form Name of Driver: _________________________________ All MSPA correspondence will be mailed to this address. Address: ________________________________________ City: __________________ State: ______ Zip: _________ Phone: Home (____)__________ Work (___) __________ E-Mail Address: _________________________________ Jacket and/or Shirt Size: ____________ Vehicle Name: ___________________________________ Class: __________________________________________ If your vehicle competes in more than one class, you must indicate which class you wish to exercise your voting rights.  If not specifically indicated, the class listed first shall be the class used. Additional Driver (if applicable) Name: _________________________________________ (if different than above) Address: _______________________________________ City: ___________________ State: ______ Zip: ________ Phone: Home (____)___________ Work (___) _________ Jacket and/or Shirt Size: ____________ Two Hot Pit Passes Name: _________________________________________ Name: _________________________________________ MSPA Classifies the vehicle as the member, please enclose the appropriate amount.  Fee Enclosed: $____________ Mail to: Mid-South Pullers Association c/o Tonnice & Sharon Wallace 29633 Easter Ferry Road Lester, Alabama 35647 (256) 232-9481

MSPA Membership = $100.00 paid (or post marked) on or before April 1st ... $150.00 paid after April 1st