Membership Application

    Name: ________________________________ 
Phone #: ________________________________

Address:_____________________________________________
                _____________________________________________


( ) $10.00 * Individual Membership ( ) $20.00 * 2 yr. Individual Membership

( ) $20.00 * Family Membership ( ) $40.00 * 2 Yr. Family Membership
(2 adults and children under 18) (2 adults and children under 18)

* All members 18 years of age and over are voting members

Your dues will be delinquent on February 29. At this time you risk being 
removed from the WPMA mailing list, which includes receiving the Rural 
Heritage News.

Return this portion with check payable to:
Wheatland Plowing Match Association
P. O. Box 92
Plainfield, IL. 60544