TITAN TIRE FFA ANTIQUE TRACTOR RESTORATION PROGRAM

Guidelines:

Tire sizes up to and including 18.4 x 38

(Section width no wider than 18.4 or bead diameter no larger than 38 or combination of both)

Model year Tractors Earlier than 1973

No Radials or Duals

No 3rd party owned tractors.

Tractors must be owned by the student or chapter

Application must come from FFA or 4H Advisor- No exceptions!

Select Your Iowa FFA District:
Northwest North Central North East
South West South Central South East

Applicant Contact Information:

Name: / FFA Membership ID:
Home Address:
City: / State: / ZIP:
Cell Phone: / Email:
Parent’s Name:

School Information:

High School Name:
Chapter Name:
Address:
City: / State: / ZIP:
Phone:
Advisor’s Name: / E-Mail:
Phone:

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:

Tractor Information:

Make: / Model: / Year:
Serial Number: / Date Restoration Began:
Front Tire Size: / Rear Tire Size:
Estimated Completion date of tractor:
Where would you like the tires sent?
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? Yes No If yes, please list all members involved:
Comments/Notes:

Issued April 1, 2013 Active 4-H members are eligible to apply.

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.

Issued April 1, 2013 Active 4-H members are eligible to apply.

Signatures:

Member: / Date:
Parent: / Date:
Advisor / Date:

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 progresspicture 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 applicationto . Please send it as a PDF as well.

5. Attach only 1 application and signature page per e-mail

6. 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. 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

Issued April 1, 2013 Active 4-H members are eligible to apply.