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September 26-30, 2018 Old Salem Farm, North Salem, NY Gold Cup Stall Reservation Form Subject to change (Premier Stabling Package) $395 per stall under a clear span tent (without poles) in a premium location. Reservations for this package are required by August 22nd. Return to: Colleen Morrissey – 3011 W Bay Vista Ave, Tampa, FL 33611 Phone (813) 917-6707 / email [email protected] / efax (813) 944-5194 STABLE WITH: _______________________________________________________________________ TRAINER: ___________________________________________________________________________ CONTACT EMAIL: ______________________________ CELL PHONE: ________________________ HORSE/TACK: OWNER: $295 STALL $395 STALL EXTRA $400 FEI STALL 10 x 10 10 x 10 10 x 12 1) _____________________________________________________ ❑ ❑ ❑ 2) _____________________________________________________ ❑ ❑ ❑ 3) _____________________________________________________ ❑ ❑ ❑ 4) _____________________________________________________ ❑ ❑ ❑ 5) _____________________________________________________ ❑ ❑ ❑ 6) _____________________________________________________ ❑ ❑ ❑ 7) _____________________________________________________ ❑ ❑ ❑ 8) _____________________________________________________ ❑ ❑ ❑ 9) _____________________________________________________ ❑ ❑ ❑ 10) _____________________________________________________ ❑ ❑ ❑ 11) _____________________________________________________ ❑ ❑ ❑ 12) _____________________________________________________ ❑ ❑ ❑
