Second Futurity Payment

2021 Second Futurity Payment
Rider

First Name Last Name
E-mail
Phone Number

Area Code Phone Number
Horse Registered Name
Name of Horse Owner

First Name Last Name
Each futurity entry will receive 2 complimentary time onlys. See time only schedule on website for availability and enter request here, include request for any additional purchased time onlys.
Time slots each half hour
Second Futurity Payment
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Second Futurity Payment $ 100.00

Late Fee after 2/10/2021 $ 20.00

Carryover to Open 5D $ 130.00

SWBRA Co-Sanction $ 10.00

Carryover to Age Incentive $ 60.00

Friday Jackpot $ 25.00

Processing Fee $ 10.00

Total $ 0.00
Payments can be submitted by Venmo @dixieclassic or

mail a check to Dixie Classic at 394 S Main Street, Washington, UT 84780.

Entry is complete when your payment is received.
Signature of Participant or Legal Guardian

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2021 Second Futurity Payment