TRI STAKES ENTRY FORM
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Name of registered horse
Registration papers
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Heartland Futurity
$
20.00
Gridiron Futurity
$
20.00
5 States
$
20.00
Dash N Dance
$
20.00
The Blitz
$
20.00
Rapid City Prospector May 9-10
$
5.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
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