2017 Lucas Oil Pro Pulling League Scale Tractor Competition License

Member Group:   __ Shenandoah Valley Tractor Pullers      __ Member Group __________________

Class:   __ 900 lb Stock Jr. Adult                                __ 1100 lb Sportsman 
             __ 900 lb Stock Adult                                    __ 1200 lb Pro-Sportsman 
             __ 1000 lb Stock                                              __ 1400 lb Eliminator 
             __ 1050 lb Stock                                              __ 1600 lb Mini-Rod
             __ 1100 lb Stock-Altered                               __ 1850 lb Mini-Rod
             __ 1050 lb PST (pro/super/twin)                                      

Vehicle Name:___________________Brand of Vehicle:____________Type of Engine_____________

Driver #1 Name:_________________________________
Address:_______________________________________
City:___________________State:_______Zip:__________
Phone:__________________Fax:________________Email:______________________________________

Driver #2 Name:_________________________________
Address:_______________________________________
City:___________________State:_______Zip:_________
Phone:__________________Fax:________________Email:______________________________________

Event and Points Check Information
Event Checks and points check get made out to__________________________and the
SS# or FID is_____________________
If event checks gets made out to who is driving please provide the additional driver
Name:_________________________ and SS#_________________________

Deadline on/or before February 15, 2017
   
# of Drivers                ______X $50.00
    # of Vehicles               ______X $50.00            Total $ _________

After February 15, 2017
   
# of Drivers                ______X $75.00
    # of Vehicles               ______X $75.00            Total$ __________

Information given for competition license will be embossed on membership card and the SS#/FID will be used for tax purposes.  All of the above information is required for processing of the competition license.  Members will receive a rule book, decals, patches and membership card via US mail.  For an event purse or points check to be paid a vehicle must display all decals in a visible location, not under fenders or on the frame.

Make check payable to SVTPA.  Mail form and payment to:
SVTPA
721 Carann Street
Staunton, VA 24401