This page can be printed out and faxed back to 540-687-3643

MIDDLEBURG SPRING RACE MEETING ACCEPTANCE CARD NAME: ______________________________________________________________ ADDRESS:___________________________________________________________ CITY: __________________________ STATE:_____________ ZIP: PHONE:(________)______________________ ~ Reserved Enclosure Tickets Only ~ ~ Not sold on Race Day ~ ~ Only Spaceholders Can Purchase Reserved Enclosure Tickets ~

QUANTITY     AMOUNT  ___________ SPONSOR I $700.00 _________  ___________ PATRON I $700.00 _________  ___________ SPONSOR II (15-40)  $700.00 _________  ___________ SPONSOR II (1- 14)  $600.00 _________  ___________ MEMBER BOX $400.00 _________  ___________ PATRON II $400.00 _________   ___________ SPONSOR III  $400.00 _________  ___________ SUBSCRIBER $400.00 _________   Extra Reserved Enclosure Guest Ticket No more than 16 extra may be purchased by spaceholders, a total of 20 $ 50.00    ___________ Extra Reserved Enclosure Guest Ticket After March 31 $75.00 _________ ~ Picnic Parking Tickets Only ~ (This will not admit you to Reserved Enclosure)  ___________ PICNIC PARKING   $250.00 _________  ___________ Extra Picnic Parking Guest Ticket   $25.00 _________  ___________ GENERAL ADMISSION per person   $25.00 _________  ___________ Age 12 and under     NC _________   TOTAL   $ _________

~ Tent Packages ~  ___________ 20 X 20 PICNIC PARKING TENT Includes 24 chairs/linens/banquet tables/round tables and 30 passes to Picnic Parking. Call for additional sizes and pricing for Picnic Parking. $2,900.00 _________  ___________ 20 X 20 HOSPITALITY TENT Includes 24 chairs/linens/banquet tables/round tables and 30 passes to Reserved Enclosure.   $3,700.00 _________   20 X 30 HOSPITALITY TENT Includes 24 chairs/linens/banquet tables/round tables and 40 passes to Reserved Enclosure.   $4,300.00    ___________ 20 X 40 HOSPITALITY TENT Includes 42 chairs/linens/banquet tables/round tables and 50 passes to Reserved Enclosure.   $4,800.00 _________  ___________ 30 X 30 EXECUTIVE TENT Includes 24 chairs/linens/banquet tables/round tables and 75 Reserved Enclosure Passes.   $5,950.00 _________  ___________ 30 X 40 EXECUTIVE TENT Includes 60 chairs/linens/banquet tables/round tables and 100 Reserved Enclosure Passes.     $7,350.00 _________   TOTAL   $ _________  Please call for specifics on site areas and other tent details. Please fax your reservations after picking your preferred arrangements or mail in with your race invitation.

Proper Attire Expected - No Pets Please CHECK ENCLOSED - PAYABLE TO MIDDLEBURG SPRING RACES VISA MASTERCARD ___________________________(CARD NO.) _________ (EXP. DATE) AMER. EXPRESS ___________________________________________ (SIGNATURE)

For tax purposes you may deduct the following amounts:
SPONSOR I $500.00	SPONSOR III $200.00	MEMBER BOX $200.00
SPONSOR II (1-14) $400.00	PATRON I $500.00	SUBSCRIBER $200.00
SPONSOR II (15-40) $500.00	PATRON II $200.00	PICNIC PARKING $150.00