  Poster

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  Dinner Menu

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  How to Play

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Silent Auction

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[Questions]

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This page is a draft. Some material is copied from last year, not valid this year. Check back for the final edition.
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Gala Dinner & Texas Hold'em Poker
Sign Up / Ticket Request Form

You may fill out this form, then press "Send Email" at the bottom of the form. You will be sent an email confirmation.

You may also print out the form. Once filled in, you may Fax it to us at (905) 849-1134.

Within three business days, of receiving your request, we will contact you to arrange payment.

(All players must be at least nineteen years of age.)

Your Name (First, Last)
Your Email Address
Day time Phone	Please provide at least one telephone number, so we may call you.
Night time Phone
Street Address
City
Province/State
Postal Code/Zip
1 Player Game	$100 Regular (Only 100 Seats) $75 Beginner (Only 50 Seats)
2 Player Name (First, Last)
2 Player Game	$100 Regular (Only 100 Seats) $75 Beginner (Only 50 Seats)
3 Player Name (First, Last)
3 Player Game	$100 Regular (Only 100 Seats) $75 Beginner (Only 50 Seats)
4 Player Name (First, Last)
4 Player Game	$100 Regular (Only 100 Seats) $75 Beginner (Only 50 Seats)
5 Player Name (First, Last)
5 Player Game	$100 Regular (Only 100 Seats) $75 Beginner (Only 50 Seats)
6 Player Name (First, Last)
6 Player Game	$100 Regular (Only 100 Seats) $75 Beginner (Only 50 Seats)
Any comments or questions?
Any prizes you may donate?


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