Double D Derby Reservation Form
Event Date/Time: 4/26/25 @ 5:00
Event Location:Northside Events & Social Club (Formerly Northside K of C)
                            2100 E 71st St, Indianapolis, IN 46220
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Prices and Options 
$500/Table Tables Seat 10 People
$50/Individual Seat
If you would like to reserve more than 10 seats, please submit an addtioinal form.
Send payment via Venmo: suzanne-engle
Mail check made out to BRBFTC to 1138 Castle Row, Indianapolis 46220

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Last Name *
Phone Number *
Number of Tickets *
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