Page 63 - 30 March 2012

PRAIRIE MEADOWS AND THE IQHRA PRESENT 2012 Iowa Double Gold
Futurity and Derby
Iowa Double Gold Futurity (RGIII)
$50,000 Added (Est. $100,000) (Includes $15,000 from IQHRA)
Trials: Saturday, August 18, 2012 Finals: Saturday, September 1, 2012
350 Yards Weight 122 lbs.
Restricted to foals of 2010 which are progeny of stallion services sold in 2009 IQHRA Stallion Service Auction.
Iowa Double Gold Derby
$45,000 Added (Est. $70,000) (Includes $15,000 from IQHRA)
Trials: Sunday, August 19, 2012 Finals: Sunday, September 2 , 2012
400 Yards Weight 124 lbs.
Restricted to foals of 2009 which are progeny of stallion services sold in 2008 IQHRA Stallion Service Auction.
Payment Schedule
On or before April 15, 2012
On or before May 15, 2012
On or before June 15, 2012
On or before July 15, 2012
Total $1,000 Late Supplement A.T.O.E. $5,000
All late penalties include payments to date.
HORSE(S) NAME _________________________________ _________________________________ _________________________________ _________________________________ _________________________________
Late Penalty
$ 750 plus remaining fees $1,250 plus remaining fees $2,500
All payments in U.S. funds only.
FUTURITY/DERBY ____________________ ____________________ ____________________ ____________________ ____________________
$ 250 $ 250 $ 250 $ 250
I/We enter the horses specified on this sheet and agree to all conditions and agree to the terms and conditions set forth on the back of Iowa Double Gold Futurity/Derby Nomination form (a complete copy of conditions may be obtained from the Racing Office at Prairie Meadows Racetrack & Casino).
The Stallion List for both races may be obtained from Janet Rinehart at IQHRA (515-262-2342), IQHRA web page (http://iqhra.com/), or The 2012 Speedhorse Stallion Register.
Owner________________________________________________________________________________________________________________________________ Address_______________________________________________________________________________________________________________________________ City________________________________________________________State_________________ Zip_________________________________________________ Telephone____________________________________________________________________________________________________________________________
Make Checks Payable to: IQHRA - Iowa Double Gold Futurity or Derby Mail payments to:
Janet Rinehart
3535 E. Court
Des Moines, IA 50317
515-262-2342
We support responsible gaming. 1-800-BETS OFF
SIRE DAM _______________________ _______________________ _______________________ _______________________ _______________________