International Plowing Match 2012

Please complete the following application form to register for the Historical and Antique display. If you would like to download and complete the form, please click here.

Antiques – Historical Application

Name
FirstLast
Address
Street AddressAddress Line 2CityState / Province / RegionZip / Postal Code
Country
Phone
Fax
Email
Class Type of Exhibit – Brief Description Model Year Functioning Equipment (Y/N) Space Required (SqFt)
Services Required (check all that apply):
- Water
- Hydro Access
- Inside Display
- Outside Display
- Other
Other Requirement/Comments
Number of volunteers Parking Passes
Insurance Information (proof required prior to June 30,2012)

Company Name Policy Number Liability Amount Expiry Date Steam Certificate Number
Dates you are planning to attend