Twin-Power Heritage Association Inc.
Application For Membership Form
Full Name: (please print)
Name of Spouse:
Province/State: Postal Code:
Telephone Number: Area Code ( ) email address:
Please List Massey Tractors and Equipment Owned:
I am also interested in: (please circle) Toys Literature
If you are a current or former Massey dealer or employee, please describe the position held:
Will you allow us to publish your address and phone number in the club membership list?
(Circle one) Yes No
Please mail this completed form and cheque for $30.00 (made payable to Twin-Power Heritage Association Inc.) to:
Colin Petherick, RR#5, 463 County Rd 8, Campbellford, ON, Canada K0L 1L0
Please tell us how you find out about our website?