All In For Education

TEXAS HOLD'EM SHEBOYGAN STYLE




Yes, we plan to attend.             Cost per person: $75.00

Please use this form to register. Upon registration, you will be taken to a page where you can pay and/or donate online.

* Required

Name of Person Registering:* 
 (First and Last Name)

Street Address:* 

Address (cont.): 
(Use second line for apartment number, box number, etc.)

City:* 



State:* 

   Postal/ZIP Code*: 

Phone:*
 (where you can be reached)

E-Mail Address:* 



Total Number of People Attending:* 


Please list the first and last name of all people attending.
The number of names must be the same as the number attending.




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