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Connie McAlister Breast Cancer Foundation

I will be at the Four Crowns Thursday July 9th from 6:30-7:30PM with shirts for sale and to pre-register for

the Poker Run!

Please click on "Registration Form" button below to pre-register for the 2016 12th Annual Poker Run;

There are two ways you can pre-register for the event:

1- You can print this form, sign (driver and passenger if applicable) and drop off at Four Crowns Tavern at 103 W 9th Street, Auburn IN; The cost is $20 per person and payment is due with your form to be pre-registered.

2- You can print this form, sign (driver and passenger if applicable) and email as an attachment to [email protected]; This option does not allow e-signature for liability reasons; Then for your convenience you can click the appropriate "Buy Now" button for driver only $20.00, or driver and passenger $40.00. Please make sure that the name on your PayPal payment matches the name on your registration form.

Both of these options allow you to skip the line and pick up your packet!!!!

Registration Form

Click "Buy Now" button below for Driver Only $20.00

Registration Payment 1 Rider
$20.00

Click "Buy Now" button below for Driver and Passenger $40.00

Poker Run Registration 2 Riders
$40.00
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