2017 OSTPA Membership

Membership

New
Renewal

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Type of Membership:

Competitors: You do not need to pay for a voting membership. As a competitor, you are automatically a voting member of OSTPA.

Before April 1st Competing Member with a Local Club Membership $115
Before April 1st Competing Member without a Local Club Membership $125
Voting Associate $35
Subscriber Associate $20
After April 1st Competing Member with a Local Club Membership $140
After April 1st Competing Member without a Local Club Membership $150

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First Name:

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Last Name:

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Street/Mailing Address:

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City:

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State, if "other" was chosen above:

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Zip Code:

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Pulling Division:

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If you are joining as a Light-Limited Pro Stock, please designate which your tractor is.

Light Pro Stock
Limited Pro Stock

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Vehicle name:

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Make/Model of Vehicle

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Event/award checks made payable to:

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Email:

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Cell phone number:

It is important that we have an updated contact number to use.

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Home phone number:

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I prefer to have ______ as my primary phone number.

Home phone number
Cell phone number

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I would like to be put on a list to have informational texts sent to me from OSTPA.

This would include event/rainout information, general membership information and reminders about upcoming dates.

Yes
No

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PPL # (if known):

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Jacket Size if "other" was chosen above:

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I would like to have a paper copy of the newsletter sent to me.

Electronic versions of the newsletter are available on the website.

Yes
No

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Any other information that may be needed for membership purposes:

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Agreement of Release

1.) Hereby release, waive, discharge and covenant not to sue OSTPA as an Association, including all its corporate elected and appointed officials, all members of committees referees and inspectors, its individual members, its member clubs, agencies of government which control essential event sites, financiers and firms which render essential gratis, including all officers, agents, and employees of the foregoing and volunteer workers assisting in sanctioned PPL event activities, all hereinafter referred to as “Releasees” from or for any and all liability to me, my personal representatives, heirs, next of kin, successors and assigns, for all loss or damage for bodily injury, or death or damage to property of the undersigned which in any way grows out of or results from any OSTPA event activity or part thereof, during the actual sanction period and whether any such claim may be based upon alleged breach of any statutory duty or obligations; and 2.) Hereby agree to indemnify and save and hold harmless the releasees and each of them from any loss, liability, damage or cost they may incur due to the presence of the undersigned in or upon the restricted area or in any way competing, officiating, observing, or working for, or for any purpose participating in the event and whether caused by the negligence of releasees or otherwise. 3.) Hereby assume full responsibility for and risk of bodily injury, death or property damage due to negligence of releasees or otherwise while in or upon the restricted area, and/or while competing, officiating, observing, or working for or for any purpose participating in the event. 4.) Expressly acknowledges and agrees that the activities of the event are very dangerous and involve the risk of serious injury and/or death and/or property damage, the undersigned further expressly agrees that the foregoing Release Waiver and Indemnity Agreement is intended to be as broad and inclusive as is permitted by the law of the Province or State in which the event is conducted and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full force and effect.

By checking this box you are indicating that you have read the Agreement of Release above and agree to the release.

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Promotional Release

In consideration of the OSTPA promotional efforts on behalf of the sport, I hereby assign all commercial communications, pictures and broadcast rights to the OSTPA.

Yes

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Check # of payment being sent to OSTPA office:

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