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GCL Poker Run Flyer 2016 Final
GCL Poker Run Flyer 2016 Final
needed vision testing equipment for local schools, and other local charities
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Pre-Registration Form
Riders Name:____________________ Passengers Name:________________________
Street Address:________________________________ Phone: ____________________
City/State/Zip:_______________________________
Email Address:________________________________
Single $25.00____________ Couple $40.00 ___________
Extra Poker hand No. ____x $15.00=__________
Please make checks payable to Gold Country Lions Club and mail with this entry form
by May 2, 2016.
to
Gold Country Lions- Poker Run 2016
P.O. Box 531
Grass Valley, CA 95945
For more information, call Tom (530) 265-6393 or E-mail: goldcountrylions@sbcglobal.net
Major Sponsors
sierra view medical eye, inc