May 25th 2008 at Leverick Bay Resort
Virgin Gorda, BVI
REGISTRATION
Name of Boat: _____________________________________________
Name of Entrant: ___________________________________________
Number of Hands at $250 each: ________________________________
Telephone: ________________________________________________
FAX: ____________________________________________________
E-mail:___________________________________________________
Choose One:
[_] I wish to Pay in Advance by Credit Card Type
(circle one) Mastercard Visa American Express
Card Number: _______________________ Expires: _______
Signature: _________________________________________
[__] I prefer to pay cash on-site at Leverick Bay on May 25th
FAX this form to 284-495-7367
Office Use Only
Wristband Numbers Final Poker Hand
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