Table Reservation Form
American Gold Cup CSI4*-W Table Reservation Form September 13-17, 2017 Name:________________________________________________________________________________ Farm/Business Name:___________________________________________________________________ Address:______________________________________________________________________________ City/State/Zip:_________________________________________________________________________ Phone:___________________________________Email:_______________________________________ Name To Be Placed On The Table:_________________________________________________________ Please select table preference: Select
Table Option
Amount
Tax
Grand Total
Table of 8
$7,000.00
$516.25
$7,516.25
High Top Table of 6
$5,500.00
$405.63
$5,905.63
High Top Table of 4
$3,750.00
$276.56
$4,026.56
(Restricted View-2nd floor)
Check enclosed or credit card required with reservation form to confirm table. Visa
Mastercard
American Express
Card Number:_____________________________________Exp:______________Code:______________ Name on Card:_________________________________________ Billing Zip Code:__________________ Signature______________________________________________ Make Checks Payable to: Mail/Email to:
American Gold Cup P.O. Box 1375 Bradenton, FL 34206 [email protected]
Table Option
Amount
Tax
Grand Total
Table of 8
$7,000.00
$516.25
$7,516.25
High Top Table of 6
$5,500.00
$405.63
$5,905.63
High Top Table of 4
$3,750.00
$276.56
$4,026.56
(Restricted View-2nd floor)
Check enclosed or credit card required with reservation form to confirm table. Visa
Mastercard
American Express
Card Number:_____________________________________Exp:______________Code:______________ Name on Card:_________________________________________ Billing Zip Code:__________________ Signature______________________________________________ Make Checks Payable to: Mail/Email to:
American Gold Cup P.O. Box 1375 Bradenton, FL 34206 [email protected]
