Cowboy State Slot Race Slot Form
We currently have slots available for purchase! Use this form to secure your slot. Please refer to the rules for eligibility. Slot fee is $1,500. Payment may be required at the time a slot is reserved. Slots are sold on first come first serve basis. Participant is also required to. sign a participation agreement for purchase to be official. The 2026 Cowboy State Slot Race will be held in conjunction with the Fizz Bomb Classic in Gillette, WY September 12.
Slot Owner Name
*
Can be a person or business
Slot Owner Email
*
example@example.com
Slot Owner Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Slot Owner Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Slot Payment
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Cowboy State Slot Fee
1st Payment
$500.00
$
500.00
Quantity
1
2
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10
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
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2045
Expiration Year
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