Pub. 1 2020 Issue 1

Kentucky Trucker 9 KyTrucking.net Competition spaces must be reserved in advance. Make your commitment now! Payment for each driver reservation is $200 for KTA Members and $349 for Non-Members. Payment must be received by April 15th . We accept checks or credit cards but cannot bill for these reservations. Reservations received after April 15th are $300 for members & $399 for non-members per driver. All cancellations must be made by April 15 th . No fees will be refunded after April 15 th . Classes include: Step Van; Straight Truck; 3, 4 & 5 Axle Van; 5 Axle Flatbed and Tanker; 5 Axle Twins; and 5 Axle Sleeper. Please register early! COMPANY OFFICIAL: PLEASE PRINT OR ATTACH BUSINESS CARD NAME: ___________________________________________TITLE: __________________________________ COMPANY: ________________________________________________________________________________ ADDRESS: _________________________________________________________________________________ STREET ADDRESS __________________________________________________________________________________________ CITY STATE ZIP TELEPHONE: (_______) _______________________________FAX: (_______) ___________________________ EMAIL ADDRESS: ___________________________________________________________________________ KTA Member driver competition spaces: #________drivers @ $200 each = $_____________________ After April 15: #_______drivers @ $300 each = $___________________ Non-Member driver competition spaces: #______drivers @ $349 each = $_____________________ After April 15: #______drivers @ $399each = $_____________________ (NOTE: Non-Member Entry Fee Includes Complimentary 6-month membership to KTA.) Total Payment Enclosed $_______________________ CREDIT CARD PAYMENTS, PLEASE COMPLETE THE FOLLOWING: American Express / Visa / MasterCard # ________________________________________________________ Credit Card Billing Address _____________________________________________ Zip __________________ Cardholder Signature ____________________________________Exp.Date ________ Security Code _______ Upon receipt of the registration fees, individual driver registration forms and study guides will be mailed to the registering company official. Please mail or fax your reservations before March 31, 2020 to: Kentucky Trucking Association Truck Driving Championships • P.O. Box 818 • Frankfort, KY 40602 Phone (502) 227-0848 • Fax (502) 227-0849 or email to cwelch@kytrucking.net Company Reservation Form Kentucky Truck Driving Championships May 15-16, 2020 Truck Driving Championship