BIF Side Pot Report Form
Race Name
Date Of Race
-
Month
-
Day
Year
Date
Race Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Race Secretary Name
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
How many riders were in the side pot
Total Amount Owed ($6/rider)
Cash/Check
Method of Payment
Check
Credit Card (invoice will be sent)
Submit
Back
Next
Should be Empty: