NATPA							No.
Application for Membership
Date				Phone
	Please print legibly
Name
Address
City				State			Zip
Tractor Information:  Please list Tractor Year, Make and Model
	1st Tractor
	2nd Tractor
	3rd Tractor
	I wish to be an NATPA Puller							$  40.00
	Number of tractors listed above					X $10.00  =
							Total	$
	I wish to be an NATPA Promoter							$  40.00
	I wish to be an NATPA Social Member							$  30.00
Please make check payable to NATPA and send to:
NATPA
				Dan Paumier
Box 248
Hanoverton, Ohio 44423-0248
330-223-1691
I, ___________________________________, agree to support and abide by the
Articles and By-Laws, the Code of Conduct and the Contest Rules of the NATPA.
Do not write in this space
	Rec'd Date:		Am't Rec'd:				Member No:
	Rec'd By:		Paid by	Check	Cash
				(Circle one)