Name of PlayerAnd/or Sponsor         _______________________________________________________Address:               _______...
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Poker 2012 registration form

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Poker 2012 registration form

  1. 1. Name of PlayerAnd/or Sponsor _______________________________________________________Address: _______________________________________________________ _______________________________________________________Phone: _______________________________________________________Email: _______________________________________________________Contact Name: _______________________________________________________Credit Card Type &Number: _______________________________________________________ # of player Sponsorship Level spots (Please Check One) $60 “Bet on a Boxer” Player spot $30 Dinner Guest / Supporter $250 “Gold” Table Sponsorship $500 “Silver” Table Sponsorship $1,000 “Platinum” Table Sponsorship $500 “High Roller” Black Jack Table Sponsor $ TOTAL PURCHASED “Friends of Boxers” Raffle/Silent Auction Donor Item Donated _________________________________________Value ___________ Item Donated _________________________________________Value ___________ Lone Star Boxer Rescue “Have a Heart and Bet on A Boxer” Texas Hold ‘em Poker Tournament Fundraiser Friday, February 10th, 2012 6:15pm BBQ Dinner (sponsored by Caliber Controls) and Player Check in 7:30pm Poker Tournament SPJST Hall Lodge #88 (Heights) 1435 Beall St Houston, TX 713-869-5767 Mail this Registration form with check or credit card information to: LSBR 9314 Oratorio Ct Houston, TX 77040 Questions? Email ann@bwps.com or call 713-569-7678

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