FORM – Bingo Registration

EARLY BIRD – BINGO REGISTRATION FORM

Sponsor's Full Name *

Sponsor's Email *

Sponsor's Phone Number *

Daubers ($30 2.

1. Guest Full Name *

# of Bingo Packages ($30 each)

includes 30 bingo cards (10 sheets, 3 bingo cards per sheet)

Extra Single Cards ($2 each)

# of Bingo Daubers ($2 each)

Total Amount to Pay ($) *

Registration is not complete without payment. Call or visit us in building 412 to complete payment.

Signature

Clear Signature

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