Online Poker Tournament Reservation
This Order Form is Secure

To Reserve Your Spot in the Road 2 Recovery Poker Tournament, October 8, 2009 at the M Resort & Spa ASAP, Las Vegas. Please Fill out the Following Form.
The $200 + $30 will be collected at a later date

 
Date:
  2/8/2010
Personal Information
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Date of Birth* mm/dd/yy
Name of Sponsorship(s) if applicable:
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Note: A donation receipt will be mailed to your address listed above
The Road 2 Recovery Foundation is recognized by the U.S. Government as a not-for-profit charity foundation that meets the 501c-3 requirements.
Our charitable tax ID number is: 86-0996104