Drive Name: ____________________________________________
City/State: _______________________________ Zip Code: ___________
WUMPA Truck Pull Registration Class_____________
Make, Model & Year____________________________________________
I agree to abide by the rules and accept the Judge’s decision, and acknowledge that I am responsible for myself, my actions, and my vehicle, during competition.
Driver Signature________________________________ Date___________
This form need to be post marked 7 days before the Pull along with the entry fee of $20.00.
Send to Gary Chartier N4393 HWY 180 Marinette WI 54143