2009 Clutch Certification
Name of Owner or Driver (Please Print)
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Address (Please Print)
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City/State/Zip (Please Print)
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Year, Make, & Model of Vehicle (Please Print)
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Vehicle Name (Please Print)
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The undersigned guarantees that the competition vehicle
described above is currently equipped, and will be continually equipped, with
all clutch assembly, flywheel, bellhousing components
and required shields that are equal to, or exceed, the minimum safety
requirements as defined in the 2009 Midwest Pullers Association rules, while
participating in any Midwest Pullers Association sanctioned event.
The undersigned understands that this guarantee of
compliance with all 2009 Midwest Pullers Association rules for all clutch
assembly, flywheel, bellhousing components and
required shields expires on
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Signature of Owner or Driver Date