AGRICULTURAL PRESERVATION ASSOCIATION OF CUYAHOGA COUNTY

"THE TRACTOR CLUB"

* * MEMBERSHIP APPLICATION * *

DATE: __________
NAME________________________________tractor clipart
SPOUSE________________________________
ADDRESS________________________________
CITY/STATE/ZIP________________________________
PHONE________________________________
EMAIL________________________________
BIRTHDAY________________________________

What type of tractor club programs interest you? ___________________________________________________________________________________________

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We are building a database for the club and would like you to list the tractors
or other farm equipment that you own.
Please include make, model, year, hp, plus any additional information -
such as how acquired, history, restoration work done, etc.
Use the back of this form if necessary.

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* Use your browser's print function to print this form. *
Bring the completed form with your $10.00 dues to the club meeting -
or mail to the attention of the club treasurer.
Make checks payable to "APACC ~ The Tractor Club".

APACC ~ The Tractor Club
Attn: Club Treasurer
c/o Cuyahoga County Farm Bureau
8460 Ridge Road
North Royalton, Ohio 44133