PRE-REGISTRATIONAswepreparefortheupcomingReunion,weareaskingthoseplanningtoattendtocompletethispre-registrationform.Thegoalistogivetheplanningcommitteeanideaofwhowillbeattending,whatyouarebringingandwhatactivitiesyoumaybeinterestedin.

Name_________________________________________________________

Address_______________________________________________________

City________________________________State_______Zip____________

Email___________________________________Phone________________

Indicatewhatyouplantobring:

TractorModel_______MountedImplement_________________

Pullbehindimplement__________________Car/Truck___________________GasEngine____________

Artifact/Memorabilia___________________________________________

Aspartoftheevent,wearecompilinginformationontheproductionoftheUniversalTractortohelpidentifyproductionperiodsanddesignchanges.Ifyouhavemorethanonetractor,pleaseusebackofpage.

UniversalTractorMotorNo.______________ChassisNo.:___________________________Model_______

IftractorisaD,thefanbeltshroudis:verticalorslanted______________Raisedcastingdatesonaxels:____________

Wouldyoubeinterestedin:

o AguidedbusvisittothesitesoftheformerMolinePlowCoHeadquartersinMolineandtheUniversalTractorfactoryinRockIsland.Thiswouldbearound2hourswithaguidewhowillspeakaboutthesites.LateFridayafternoon.Y____N____Maybe_____

o Anexhibitordinnercostinglessthan$30/mealperperson:NotInterested______

Restaurantwithin30-minutedrive______Catereronsite_____No.thatmightattenddinner:__________

Comments:

Pleasereturnto:ThomasSchasney,3961EastBaseroad,Greensburg,Indiana47240;tschasney@yahoo.com