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BOAT NAME: ____________________________________________ ENTRANT NAME: _______________________________________ Number of Access Cards ______ x $54.00 = ____________ (Includes FL sales tax) ______ Check enclosed (Payable to Premiere Racing, Inc.) ______ Credit Card (information below) Card Number: ____________________________ Expiration Date: _____________ Cardholder Name: _______________________________________________________ Cardholder Signature: ____________________________________________________ Contact Phone Number: ________________________ Mail to: Premiere Racing, Inc. Fax to: 781-639-9171 67B Front Street Questions? PO Box 1067 Call: 781-639- 9545 Marblehead, MA 01945 |
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To request a printed copy of the Key West Notice and Conditions of Race, or if you have any questions regarding this event, please CONTACT US |