NAME______________________________________________________________
ADDRESS___________________________________________________________
Email _______________________________________________________________
CLASS
BEING PULLED _______________________________
NAME
OF VEHICLE _________________________________
MAKE
CHECKS PAYABLE TO PTPA
YOU MUST BE A PTPA MEMBER BY MAY 28, 2010 TO BE ELIGIBLE FOR THE PTPA POINTS FUND.
ALL
MEMBERS WILL BE MAILED A COPY OF THE RULES FOR THEIR CLASS AND A PTPA SCHEDULE.
MAIL MEMBERSHIP APPLICATIONS
TO:
PTPA
76 Pinebrook Road
Selinsgrove ,