July 20, 2011 Registration Form

Make model & year of tractor:__________________________________________

Owner of tractor:____________________________________________________

Address:___________________________________________________________

Phone number:__________________________(cell)________________________

Driver of tractor:____________________________________________________

Short history of tractor:_______________________________________________

__________________________________________________________________

__________________________________________________________________

Entrace fee is $10.00. Please return this form to Dan Nelson, 43252 172nd St Clark,  SD  57225.  Entrance fees are to be paid before we leave Watertown.  All proceeds go to The Make-A-Wish Foundation.