Father's Day Derby Prize Mailing Request — Lake Champlain International

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FATHER’S DAY DERBY
presented by Yamaha
June 18 - 20, 2022

Please only submit this form if you are listed as a winner on the final results.

To have your prize mailed to you, please complete the information below. Once your prize ships via USPS, you will be emailed a tracking number.

Name

First Name

Last Name

Email

Subject

Address (Prizes mailed via USPS)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country