Surfside Handicapping Contest Entry Form Surfside Handicapping by DerekFine

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									Surfside Handicapping Contest Entry Form
                                                  Confirmation # ____________________
                                                 Contestant # _______________________




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          When: Two day contest- Saturday, July 11 & Sunday, July 12th, 2009.
 Prizes: $30,000* in prizes at Surfside! In addition, a team of the 3 top finishers will be on a
  plane to Las Vegas for the Daily Racing Form/NTRA National Handicapping Championship in
                           January 2010 representing Team Surfside.
   *Based on 200 entries (will be adjusted proportionately based on the number of entries).
   Format: 1 track, play 8 races per day from Hollywood Park, one horse selected per race.
                        Based on a $20 mythical win and place wager.
                      Entry Fee: $200, entries limited to 3 per person

Date of Sign up____________________
Name__________________________________________________________________
Address________________________________________________________________
City__________________________State________Zip___________________________
E-mail Address___________________________________________________________
Telephone (H) ______________________ (WK)________________________________
Number of Entries ($200 each) __________________ Total Amount $______________
Contestant Signature________________________________ Date_________________
Employee Name____________________




               All entries accept and must abide to all contest rules and regulations.
 2260 Jimmy Durante Blvd, Del Mar CA 92014 www.surfsideraceplace.com 858-755-1167 Ext. 1211
                                    Wednesday through Sunday

Payment Method (cc, cash, check) __________________________________________

*If a Check include Driver’s License No.______________________________________
Cardholder’s Name________________________________________________________
Credit Card Type_________________________________________________________

Credit Card Number___________________________________                 *3 Digit Code________
*Exp Date__________________

								
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