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2014 Entry Form

 

2014 All American Entry Form

 

 

THE ALL AMERICAN YOUTH BARREL RACE 2014 ENTRY FORM
 
NAME:____________________________________________________
 
ADDRESS:_________________________________________________CITY/ST/ZIP____________________________________________
 
SOCIAL SEC. #_____________________________________________BIRTHDATE:____________________________________________
 
HORSE/PONY 1:____________________________________________________(CIRCLE PONY IF THIS IS FOR PONY RACE)
 
HORSE/PONY 2:____________________________________________________
 
HORSE/PONY 3:____________________________________________________
 
HORSE/PONY 4:____________________________________________________
 
Horse entry fee:                                                                                 qty._______@ $200 ea.= $______________
Pony entry fee:                                                                                  qty._______@ $100 ea.= $______________
Youth sidepot (12 and under) Optional* to enter sidepot                         qty._______@ $50 ea. = $______________
Teen sidepot (13 and over)  Optional* to enter sidepot                            qty. ______@ $50 ea. = $______________
LATE FEE (IF APPLICABLE) PER HORSE                                                  qty._______@ $50 ea. = $______________ 
Stalls       qty._______@ $75 ea. = $______________
Processing fee per horse               qty._______@ $20 ea. =$ ______________
Credit card fee- 5% of total                                        5% = $_______________
TOTAL DUE         $_______________
 
ENTRIES MUST BE POSTMARKED BY MAY 19, 2014 TO AVOID LATE FEES!!
 
Method of payment- 5% convenience fee for check cards, debit cards and credit cards!!
 
Name of cardholder:________________________________________________________
 
Card #:__________________________________________________________________
 
exp. date:_____________________v-code:_____________________________________
 
Mail entries: LAN BAR BARREL RACING  P.o. Box 368 Collierville, Tn. 38027-368 
 
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