Please print this form and send it with a check for $35 to
Heartland Truck Pullers Inc.
Denise Vanderweyst
19 Lone Ridge Lane
Foley, Mn. 56329
| Name: | _______________________________________ | ||||
| Address: | _______________________________________ | ||||
| City: | ______________ | State: | _____ | Zip: | __________ |
| Email: | ______________ | Phone: | ___________________ | ||
Truck info
| Make: | ______________ |
| Name: | ______________ |
| Engine size: | ______________ |
Classes
| Improved Stock | |
| Pro Stock | |
| Street Modified | |
| Open |