Saratoga Day At The Races

Last Name
First Name
Middle Initial(s)
Street Address:
Address Line 1
Address Line 2
City
State
Zip Code
Email Address
Telephone Number (e.g. 845.555.1212)

Guest Information
Guest Name
Address Line 1
Address Line 2
City
State
Zip Code
Email Address
Telephone Number (e.g. 845.555.1212)

Number of tickets ($75 each)  X 75 = $

Credit Card Information (This is the only method of payment available for online registration.)

I,[Card Holder Name]

authorize DCC to charge $

Account Used: MasterCard VISA DISCOVER American Express

Account#: Expiration Date:

Security code (3 digit number on back of card)