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Please Type or Print Legibly NOMINATION OR SUSTAINING PAYMENT FORM FOALS OF 2006 NAME OF RACE: HOOSIER Stakes NO. 72 OWNER OR AGENT MAKING PAYMENT: STREET: CITY, STATE, ZIP: PLEASE INDICATE IF THIS
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Start by clearly printing your first and last name in the designated spaces on the form.
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Who needs name of race hoosier:
01
Individuals participating in a race hosted or sponsored by Hoosier Racing Tire Corporation.
02
Racers who are registering for an event or series.
03
Race organizers or officials who require participants' names for administrative purposes.
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