Club Application

Select Event:	Drop the Hammer in Duquoin April 30 - May 1, 2010
CMSA #:	*
Class:	*
Address:	Please Include Street Address, City, State and Zip Code
Email:	*
Phone Number:	*
Bio:
Horse Name::	*
Registration #:	*
Stable Name:	*
Horse Sex:	Gelding Stallion Mare
Horse Age:	*
Horse Bio:
Event Entry ($85.00):	YES Required to enter any of the remaining Optional Events & Jackpots
Wrangler Entry ($15.00):	NO YES
Stage 1 ($10.00) 2 seconds:	NO YES
Stage 2 ($10.00) 3 seconds:	NO YES
Stage 3 ($10.00) 4 seconds:	NO YES
Stage 4 ($10.00) 3 seconds:	NO YES
Rifle Revolving ($50.00):	NO YES
Rifle Lever/Pump ($50.00):	NO YES
Stalls Per day:	1- $20.00 2 -$40.00 3 - $60.00 4 - $80.00 5 - $100.00 Move In Date: 04/30/2010 | Move Out Date: 05/02/2010
Shavings:	1 - $7.50 2 - $15.00 3 - $22.50 4 - $30.00 5 - $37.50 Move In Date: 05/01/2010 | Move Out Date: 05/01/2010
RV Sites:	1 - $15.00 2 - $30.00 3 - $45.00 4 - $60.00 5 - $75.00 Move In Date: 04/30/2010 | Move Out Date: 05/02/2010
CMSA #:	If you wish for your Stalls and/or RV Site to be located near another CMSA member's - enter their CMSA number
Validation:	Enter text as shown in image above