Entry Form

Make check payable and mail completed entry form and entry fee of $30.00 to:

Hardin County Farm Museum, PO Box 41, Eldora IA 50627.
Price includes a breakfast, dinner and the ride.

Dinner at David Bates Park for those not going on the ride is $5.00 per person.
The public is invited.

(For questions call Arvin Haywood at 641-486-2485 or e-mail driper2m@yahoo.com.)

Owners, drivers and passengers accept full liability for any injury or loss to persons or property while participating in the Greenbelt Tractorcade. The Hardin County Farm Museum and landlords are expressly released from any and all claims of loss, liability and injury.

Name: _______________________________________________________

Address: ______________________________________________________

City: ____________________________ State: _____ Zip Code: ___________

Phone: ______________________

Signature: _____________________________________________________

Date: _________________________

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