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Registration: POKER RUN (08/14/2010 )

ALL FIELDS MARKED WITH AN ASTERISK ARE REQUIRED. THE $20.00 REGISTRATION FEE INCLUDES ONE HAND OF POKER.

ADDITIONAL POKER HANDS CAN BE PURCHASED VIA THE DROPDOWN MENU ON THE REGISTRATION FORM BELOW OR AT THE EVENT FOR $5.00 A PIECE.

Your total Registration cost: $ 20.00


USER INFORMATION
( * = required field )
First Name: *
Last Name: *
Organization:
Address: *
City: *
State: *
Zip Code: *
Email: *
Confirm Email: *
Phone: *

ADDITIONAL INFORMATION
Number of Additional Hands ($5 each):
Enter the Security Code:
I agree to the terms and conditions.	Read Terms & Conditions

LIBERTY SWING DONTATION

09/30/2010 - 07/15/2011

$35000

$6090

17%

Updated:
9/3/2010