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The e-mail must come from the Advisor s e-mail or it will be rejected Once an application is received and verified the student is an FFA member Titan Tire International will review it. TITAN TIRE FFA ANTIQUE TRACTOR RESTORATION PROGRAM Applicant Contact Information Name Home Address City Cell Phone Parent s Name FFA Membership ID State ZIP Email School Information High School Name Chapter Name Address Phone Advisor s Name E-Mail Other Information Have you ever applied for tires from Titan Tire in previous years YES NO If yes please list ALL the projects that you received tires for Issued April 1 2013 Active 4-H members are eligible to apply. Tractor Information Make Model Serial Number Front Tire Size Estimated Completion date of tractor Where would you like the tires sent Year Date Restoration Began Rear Tire Size Is this your personal/family member s tractor Yes No If no please explain whose tractor it is and how the chapter will benefit What do you plan to do with the tractor following restoration Is this a group project Comments/Notes Insert Before Picture in the Box Below- Photo must be less than 300 pixels wide. Insert In Progress Picture in the Box Below- Photo must be less than 300 pixels wide. Signatures Member Date Parent Advisor District Representative To submit this application please complete the following 1. Make sure that the form is filled out completely 2. Include a before picture of the tractor in this form 3. Include an in progress picture of the tractor in this form 4. Print off the signature page pg. 4 from this application sign it scan it and send it along with your PDF application to scott. sloan titan-intl*com* Please send it as a PDF as well* 5. Attach only 1 application and signature page per e-mail 6. You may receive a confirmation once Titan has processed your application* Titan officials are often away and may take several weeks to process your request. Please remember this is a privilege and respect for the process is greatly appreciated* Thank you for your interest in the Titan Tire Antique Tractor Restoration Program Scott Sloan Titan Tire Ag Product Manager. Tractor Information Make Model Serial Number Front Tire Size Estimated Completion date of tractor Where would you like the tires sent Year Date Restoration Began Rear Tire Size Is this your personal/family member s tractor Yes No If no please explain whose tractor it is and how the chapter will benefit What do you plan to do with the tractor following restoration Is this a group project Comments/Notes Insert Before Picture in the Box Below- Photo must be less than 300 pixels wide. Insert In Progress Picture in the Box Below- Photo must be less than 300 pixels wide. Signatures Member Date Parent Advisor District Representative To submit this application please complete the following 1. Insert In Progress Picture in the Box Below- Photo must be less than 300 pixels wide. Signatures Member Date Parent Advisor District Representative To submit this application please complete the following 1. Make sure that the form is filled out completely 2. Include a before picture of the tractor in this form 3. .

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