Millionaire's Row $25,000    Winner's Circle $15,000   Two Spires $10,000
Triple Crown $5,000   Jockey Club $2,500   Patron $200
Individuals $150   Junior ( 21-40 years old) $100

• Items with '*' need to be completed
• Full name*  
• Address*  
• City, State, Zip*  
• Phone*  
• Email*  
• Amount Due  

Names of your guests to be seated at your first table:

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  then follow the prompt for the convenience of paying online.