← Back to Horsepeople THOROUGHBRED STAKES PAYMENT FORM Require Assistance with Payments? CONTACT US: Julia Bell Email: jab@woodbine.com Mobile: 416-523-5588 Phone: 416 675 7223 press 1 + 2440 Please select race : Please Select One. August 05, 2017 Payments Horses Information Horse Remove Horse Name Color Sex Select One Colt Gelding Filly Mare Rig Age Sire Dam Cost$ Add Horse Calculation Subtotal: $ Fees (2%): $ Total: $ Nominator Information First Name Last Name Email Phone# Trainer Information First Name Last Name Billing Information Billing Street Address Billing City Billing Province/State Billing Country Billing Postal Code/Zip Code Name on Credit Card Expiration Date Select One 01-January 02-February 03-March 04-April 05-May 06-June 07-July 08-August 09-September 10-October 11-November 12-December Expiry Year Select One 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 × Successfully completed – Transaction Information Date/Time of Transaction : {{TransactionDateStr}} Order # : {{Receipt.OrderNum}} Reason for Payment : {{Receipt.ReasonForPayment}} Sub Total Amount : Fee ({{Receipt.FeePercentage*100}}%) : Total : Nominator Information First Name : {{Receipt.Nominator.FirstName}} Last Name : {{Receipt.Nominator.LastName}} Phone# : {{Receipt.Nominator.Phone}} Billing Information Address : {{Receipt.CreditCard.Billing.Address}} City : {{Receipt.CreditCard.Billing.City}} Province : {{Receipt.CreditCard.Billing.Province}} Country : {{Receipt.CreditCard.Billing.Country}} Postal Code : {{Receipt.CreditCard.Billing.PostalCode}} Name on Credit Card : {{Receipt.CreditCard.Billing.FirstName}} {{Receipt.CreditCard.Billing.LastName}} Card# : xxxx-xxxx-xxxx-{{Receipt.CreditCard.Token.substr(12,4)}} ({{Receipt.CreditCard.Type}}) (Funds will be available on the next business day) Please also check your email : We Accept: If you can see this, your browser doesn't understand IFRAME. Submit We’re sorry, our payment forms currently do not support the Safari browser. Please use another browser and try again.
