| To
enter the Iron Memories Photo Contest,
complete the form below and submit it online or print
it out and send it to the address at the bottom of the
page. Don't forget to e-mail
or send the photo of your tractor to us after completing
the form! |
Entrant Information Please fill out this section completely. |
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Name:
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Address
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City: |
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State: |
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Zip
Code: |
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E-Mail: |
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Home Phone: |
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Daytime Contact Phone: |
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Name of Owner
(if Other Than Entrant): |
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Relationship to Entrant : |
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Number of Photo's You're going to email: |
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Photo's Taken By: |
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Please Fill out the following information as completely as possible. |
| Tractor Information |
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Manufacturer:
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Year:
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Make: |
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Model: |
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Engine Information
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Make: |
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# Cylinders: |
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Bore
& Stroke: |
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CID: |
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Cooling
Capacity: |
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Fuel
Capacity: |
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Other Information:
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Month & Year
Purchased: |
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| Was this tractor formerly owned by a family member (name and relationship) |
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How did you first hear about this tractor
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| Did you purchase this tractor from a |
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| Name of person you purchased the tractor from (Optional) |
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What made you decide to purchase this tractor:
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Does this tractor have a special significance to you
What makes it special:
Condition and repairs needed at time of purchase:
How did you get this tractor home, distance:
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Your Involvment with Antique Tractors |
Do you collect, repair or sell antique tractors:
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| Do you have other antique tractors
Number
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You may list them if you want
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Do you belong to any tractor clubs |
| Club Name |
City |
State |
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Do you now or in the past held an office in any club |
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| Office Held |
Club Name |
Dates |
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Are any other members of your family involved with antique tractor clubs
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What do you use this tractor for |
| What do you use this tractor for |
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Shows
Farm Work
Puller
Other
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Do you attend shows with this tractor |
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| Show Name |
City |
State |
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Have you won any awards with this tractor |
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| Date |
Award |
City |
State |
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What are your future plans for this tractor:
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| Will the tractor be handed down in the family in the future
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Favorite
memories of the tractor:
Do you have any interesting stories invoving this tractor (funny, nostalgic, sad, other):
Additional Information:
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This Tractors History |
Do you know any history of this tractors past?
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| Date it was originally sold new
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| Purchase Price
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| Name of Dealership
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| City
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State
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| Name of original owner
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Any other previous owners
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Do you know what the tractor was used for in the past
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What information do you know about this tractors manufacturer |
| Corporate name of manufacturer
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| City
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State
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| City this tractor was manufactured in
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| Is this company still in business
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Do you know any history of this model
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Is this a rare tractor, if so, what makes it different from others
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Restoration Information |
| Has this tractor been restored
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| Who restored it
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What was done to the tractor during restoration |
Engine & Drive Train
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Chassis & other Components
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| Length of time spent on restoration
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| Estimate of dollars spent on restoration
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Are there any memorable events that took place during the restoration
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Are there any people that you would like to recognize for their assistance, advice, etc on this tractor
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Send forms and pictures to:
Heartland Guides Division
Donna Hogan
P.O. Box 1115
Fort Dodge, IA 50501
E-Mail: donnah@hotlineguides.com |
