Pre-registration and Driver Information

This form MUST be RECEIVED by NO LATER than JULY 10, 2010, NO EXCEPTIONS
EARLY BIRD REGISTARTION MUST BE RECEIVED NO LATER THAN May 1, 2010

Driver Name___________________________________ Phone No._____________________________

Address_________________________________City_____________________State______Zip_______

Internet E-mail Address ___________________________________________If you have one

Tractor Make_____________________________ Model ______________Production Year_________

Tractor Fuel that your tractor requires:  Gas____ Diesel ______ LP_____

Preferred Traveling Speed _______ MPH   Tractor speed stated on this form determines your placement in the Cruise Group.  Tractors are required to maintain a road speed of at least 6 MPH.

If you would like to be placed with another tractor driver please indicate the Driver’s Name (the driver

with the slower speed will be used for group placement): ______________________________________

Application / Cruise Fees:   Make checks out to Bi-County Classic Tractor Cruise
The following are the fees for the cruise if received after May 1, 2010.  Additional meal tickets must be purchased in advanced in a later mailing.

____ One Day Fee $ 75.00   Circle One: Friday, Saturday, Sunday & Shirt Size: M   L  XL  XXL  3XL
 Includes Souvenir Hat, T-shirt, Lapel Pin, certain meals and refreshments.

____ Two Days Fee $ 120.00   Circle Two: Friday, Saturday, Sunday & Shirt Size: M   L  XL  XXL 3XL 
 Includes Souvenir Hat, T-Shirt, Lapel Pin, certain meals and refreshments for 2 days

____ All 3 days Fee $ 150.00     Circle shirt Size:  M   L  XL  XXL  3XL
 Includes Souvenir Hat, T-Shirt, Lapel Pin, certain meals and refreshments for 3 days

____ Early Bird Discount for all 3 days if application is received by May 1, 2010          $  120.00

Fees for additional meals for non-Tractor drivers will determined at a later date.  Anyone who registers for the Cruise will have this additional information sent to them later.

Mail this completed form with money to:         Bi-County Classic Tractor Cruise c/o:  Lisa Zink         13243 US Hwy 36,    Chrisman, IL   61924

Form Revised: March, 2010