AJRA Rough Stock Nomination Form

AJRA ROUGH STOCK NOMINATION FORM
CONTESTANT NAME ONE CONTESTANT/ONE RODEO PER ENTRY FORM PLEASE! *

First NameLast Name
Email*
example@example.com
Date of Birth *

MonthDayYear
Date

Phone Number*
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState

Zip Code

My Products

ROUGH STOCKROUGH STOCK

$55.00

Choose Events	Quantity	Price
Calf Riding		$55.00
Steer Riding		$60.00
13-15 Bull Riding		$70.00
16-19 Bull Riding		$75.00

Item subtotal:$0.00

Office Fee

$15.00 Quantity

Subtotal

$0.00

Tax

$0.00

Total

$0.00

This is for what region/stateRegion/State What rodeo number Rodeo #
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