The Tractor Registry
Registration Form
Make (Brand): _________________________________________
Tractor Model: ______________________ Tractor Serial Number:
____________________
Engine Model: ______________________ Engine
Serial Number: ____________________
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Overall Condition (please explain):_________________________________________________
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Features & Options (please circle “Y” for Yes or “N” for No and fill
in necessary blanks)
Transmission Type: _____________________________________ Number of Gears:_________
Hydraulics: Y
N If yes, please indicate type:_____________________________________
PTO: Y N If yes, please indicate speed(s) (if
known): __________________________
Belt Pulley: Y
N
Electrical System Other
Features and/or Comments on Features Already Listed
Starter: Y N __________________________________________________
Distributor: Y N __________________________________________________
Magneto: Y N __________________________________________________
Lights: Y N __________________________________________________
Fenders: Y N __________________________________________________
Cab: Y N __________________________________________________
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Owner Information:
IMPORTANT NOTE: The Tractor Registry List, which is to be
published at various times as Brian Rukes sees fit, will be for sale to the
public at some time. If you would like
ANY of your personal information--including your name--withheld from that list,
you may do so.
Please indicate here which
items you would or would not like included in that list.
Name: ________________________________ Include in The Tractor Registry
List? Yes No
Street Address/Box
No.:___________________ (for my reference only)
Town: _________________________________ Include in The Tractor Registry
List? Yes No
State or Province:
________________________ Include
in The Tractor Registry List? Yes No
ZIP Code:
______________________________ (for
my reference only)
Telephone Number:
______________________ (for my
reference only)
E-mail Address: _________________________ (for my reference only)
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Please e-mail the completed form to:
"Brian Rukes"
<mmregistry@yahoo.com>