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Registration Form Foundation Texas Hold- em Poker Tournament

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Registration Form Foundation Texas Hold- em Poker Tournament Powered By Docstoc
					                                                                                       Registration Form
                                                             Foundation Texas Hold-‘em Poker Tournament
                                                                              Caesars Palace Poker Room
                                                                              Wednesday, May 18th, 2011

                                                                                                              Exclusive Sponsor:



               9:30 p.m. (Beginners lesson)        10:00 p.m. (Tournament begins)
             Following the Opening Reception for the National Relocation Conference
BEGINNER LESSON AND TOURNAMENT
                                                                     Player’s Name                                  $125/person
          Starts 9:30 p.m.

Player 1.

Player 2.

Player 3.
Subtotal




    STANDARD POKER TOURNAMENT
                                                                      Player’s Name                                  $295/person
          Starts 10:00 p.m.

 Player 1.

 Player 2.

 Player 3.
 Subtotal


                                                                                          Total Fees:
                                                                                 Total Fees Remitted:

                                      PLEASE INCLUDE PAYMENT FOR ALL PLAYERS
                    Make all checks payable to the Foundation for Workforce Mobility (Tax ID #75-3138889
                                      Fax this form to +1 703 527 1552 with credit card information.
                          Questions? E-mail kfabel@WorldwideERC.org or call Kirk directly at 1 703 842 3411



            I wish to pay by check [ ] credit card [ ] Card type: [ ] VISA [ ] MasterCard [ ] American Express

      Card Number:                                                                       Exp. Date              /
    Billing Address:                                                                      Zip Code

  Cardholder Name:                                                                           CVV2

             Signature:


                  Your Name:
                          Title:
             Company Name:
 Preferred Contact Phone:                                            E-mail:

				
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