Queen's Cup Steeplechase Ticket Order Form

For immediate Response, please print this order form and Fax in your order.

Races run Rain or Shine. Absolutely No Refunds!

Name: ______________________________________________________

Address: ____________________________________________________

City: _______________________ State: ______ Zip: _______________

Daytime Phone: (_______) ____________________________

Credit Card Number __ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __

exp date __ __/__ __

Name as it appears on your credit Card:

______________________________________________

Your Signature: ____________________________________________

Tickets will be sold only in advance. Some tailgating areas do sell out. To avoid disappointment, order early. Payment must accompany registration. Sorry no Pets, Personal Tents or open flame cookers.

Contact Charlotte Steeplechase Association, Inc.
By Phone: (704) 843-7070
By Facimile: (704) 843-7556

Mailing Address
PO Box 70
Mineral Springs, NC 28108-0070