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Name Mailing Address City State Zip PhoneEmailI am I submitting Guess: Date guesses $5.00/guess Time am/pm1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Payment via Check, Credit Card or Cash

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I am submitting refers to the act of providing and sending a document, form, or information for review, approval, or consideration.

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