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Standardbred Nomination

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STANDARDBRED STAKES PAYMENT FORM

NOTE: Daily $10,000 online payment limit is in effect.

Require Assistance with Payments?

CONTACT US:
Phone: 905-854-7805
OR call 1-888-675-7223 dial 1 ext 4306

Please select race :

Horse Information

Horse 1

Horse Name

Color

Sex

Age

Sire

Dam

Cost
$0.00

Calculation

Subtotal: $0.00
Fees (2%): $0.00
Total: $0.00

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

We Accept:

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