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GAMING AT IT’S BEST
Name*
Phone*
Email Address*
Event Location
City
State/Province
ZIP/Postal Code
Country
United States
Date of Event
MM DD YYYY
Number of Guest*
Guests Arrival time *
HOURS
MINUTES
AM / PM
AM
PM
Guests Start Time *
HOURS
MINUTES
AM / PM
AM
PM
Will the casino go over 4 hours?*
Yes
No
Will the casino be a fundraiser?*
Yes
No
Will the casino be open to the public?*
Yes
No
Select all that apply: *
Buffet
Sit - down meal
Band / Dj / Dancing
Speaker
Other
Games Requested *
Blackjack
Craps
Roulette
Pai-Gow Blackjack
let-it-ride
Poker
Caribbean Stud
Mini-Baccarat
When you need tickets and a drum for a raffle? *
Yes
No
Will you cash out tickets for prize ? *
Yes
No
Would you like to receive emails in the future? *
Yes
No
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