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  2012 Josey Jr. World Barrel Race

 



Product Code: JW-2012


Contestant Name:


Address:


City:


State:


Zip Code:


Phone:


Sex:
  

Social Security #:


Age:


Date of Birth:


Email:


Horse's Name:


Entry Fee:
Barrels/per contestant [Add $275.00]

Processing Fee (Barrels):
Already Paid Processing Fee (Barrels)
Once Per Contestant [Add $25.00]

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Josey Jr. World 4D Barrel Race