Poker Tournament Form

Poker Tournament

Please complete this form to become a sponsor.

• Contact Information

• Donor Name*
  (as you would like to be listed)
  First
• Contact Name*
  First
• How did you hear about our Poker Tournament?
• Address
  Street Address City State / Province / Region ZIP / Postal Code
• Email*
• Phone
• Sponsorship Commitment
  • Gold Sponsor $3,000
  • Silver Sponsor $1500
  • Bronze Sponsor $500
  • Friends Sponsor $100

• Payment Information

• Total
  $0.00
• Select Payment method
  • 
  • 
  • 
• Credit Card
  Card Details

  Cardholder Name
• 
  

  Please send your check or money order payable to:

  Bank The Blue
  7742 W Higgins Rd
  Unit C-101
  Chicago, IL 60631
  

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