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Casino Party Registration Form

 

First Name:
(please do not enter two first names, e.g. "Joe & Mary")
Last Name:

E-Mail Address:

I plan to attend the party on Saturday, May 4:

Definitely.... Probably.... Maybe.... Not this year
Remove me from mailing list for all future casino parties

Number of guests (including myself):

Other guest name(s):

Please indicate if you can help run a table:

No thanks.... Blackjack.... Roulette
Craps.... Blackjack or Roulette.... Any game

Comments (optional):

This form has been used times since 2004