Proudly presents: 7th Annual Tom Milley Memorial Charity Poker Tournament All proceed donated to Click on the logo to learn about our chosen charity. Due to Casino regulations, we cannot accept payment of the $100 buy in at the Casino. ALL ENTRY FEES MUST BE PAID IN ADVANCE Please print off, complete and return a copy of this registration form to the offices of William J. Rhind & Associates by Wednesday, March 25, 2015 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PLAYER INFO - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Name: _______________________________________ Tax receipt to: Individual Company: ______________________________________ Company Address: _____________________________________________________ City: ____________________________ Province: ________ Postal Code: _________________ Phone: ______________________ Email: ________________________________________ I am paying for ______ participant(s) at $100.00 each (please use a second page if needed) Player 1: ______________________________________ Player 2: ______________________________________ Player 3: ______________________________________ Player 4: ______________________________________ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PAYMENT INFO - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - VISA MasterCard Cheque (Please make cheques payable to “William J. Rhind & Associates”) Name on card: _________________________________________________________________________________ Card Number: _____________________________________________ Exp. Date: ___________________________ Please charge my credit card: $ _______________ Signature: ___________________________________________ ***NOTE OUR ADDRESS HAS CHANGED*** Please return to Attention: Steve Tomchishin Fax: 403.283.1678 E-mail: [email protected] 400 7015 Macleod Trail SW Calgary AB T2H 2K6 Where: Elbow River Casino 218 - 18 Ave SE st When: Wednesday April 1 2015 Registration at 6:00 – Buffet opens at 6:30 – Cards dealt at 7:30 If you would like to donate a Prize or Auction Item please contact: Will Pozzo - [email protected] – 403.283.1378
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