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.
Name:
Address
:
City:
State:
Zip
Code:
E-Mail:
Home Phone:
Daytime Contact Phone:
Name of Owner
(if Other Than Entrant) :
Relationship to Entrant :
Number of Photo's You're going to email:
Photo's Taken By:
Please Fill out the following information as completely as possible.
Tractor Information
Manufacturer:
Year:
Make:
Model:
Engine Information
Make:
# Cylinders:
Bore
& Stroke:
CID:
Cooling
Capacity:
Fuel
Capacity:
Other Information:
Month & Year
Purchased:
Was this tractor formerly owned by a family member (name and relationship)
How did you first hear about this tractor
Did you purchase this tractor from a
Dealer
Auction
Other
Name of person you purchased the tractor from (Optional)
What made you decide to purchase this tractor:
Does this tractor have a special significance to you
Yes
No
What makes it special:
Condition and repairs needed at time of purchase:
How did you get this tractor home, distance:
Your Involvment with Antique Tractors
Do you collect, repair or sell antique tractors:
Do you have other antique tractors
Yes
No
Number
You may list them if you want
Do you belong to any tractor clubs
Club Name
City
State
Do you now or in the past held an office in any club
Office Held
Club Name
Dates
Are any other members of your family involved with antique tractor clubs
What do you use this tractor for
What do you use this tractor for
Shows
Farm Work
Puller
Other
Do you attend shows with this tractor
Show Name
City
State
Have you won any awards with this tractor
Date
Award
City
State
What are your future plans for this tractor:
Will the tractor be handed down in the family in the future
Yes
No
Favorite
memories of the tractor:
Do you have any interesting stories invoving this tractor (funny, nostalgic, sad, other):
Additional Information:
This Tractors History
Do you know any history of this tractors past?
Date it was originally sold new
Purchase Price
Name of Dealership
City
State
Name of original owner
Any other previous owners
Do you know what the tractor was used for in the past
What information do you know about this tractors manufacturer
Corporate name of manufacturer
City
State
City this tractor was manufactured in
Is this company still in business
Yes
No
Unknown
Do you know any history of this model
Is this a rare tractor, if so, what makes it different from others
Restoration Information
Has this tractor been restored
Yes
No
Who restored it
Yourself
Someone Else Name (optional)
What was done to the tractor during restoration
Engine & Drive Train
Chassis & other Components
Length of time spent on restoration
Estimate of dollars spent on restoration
Are there any memorable events that took place during the restoration
Are there any people that you would like to recognize for their assistance, advice, etc on this tractor
Send forms and pictures to:
Heartland Guides Division
Donna Hogan
P.O. Box 1115
Fort Dodge, IA 50501
E-Mail: donnah@hotlineguides.com