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Get and Sign October Entry Form Fox Lea Farm 2013-2022

Get and Sign October Entry Form Fox Lea Farm 2013-2022

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Signature TRAINER/COACH MM/YY ADDRESS CITY/ST/ZIP E-MAIL CONTACT PHONE HOME PHONE RIDER DRIVER OR HANDLER SIGNATURE TRAINER SIGNATURE OWNER/AGENT SIGNATURE Discover Billing Address Street/PO City State zip NAME SS Master Card Cardholders Name Visa Card Number 30 AMP 50 AMP GENERAL SHOW FEES X AGENT SIGNATURE PARENT OR LEGAL GAURDIAN SIGNATURE COACH SIGNATURE CELL PHONE. MANDATORY SIGNATURES BELOW IF UNDER THE AGE OF 18 A PARENT OR LEGAL GAURDIAN MUST SIGN OWNER SS MANDATORY BELOW FOR PRIZE...
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