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Tavern Registration
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*
First Name:
*
Last Name:
*
Tavern Name:
*
Owner/Mgr
Name:
*
User Name:
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Email:
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*
Password:
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County:
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ZIP:
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Other State:
(Other State is only for "Others" as Country option.)
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Phone #:
(for eg. 555-333-6778)
Cell #:
(for eg. 555-333-6778)
Fax #:
Website:
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Please enter the names of your staff who may be in charge or helping with your Poker events
*
Pit Boss 1:
E-mail Address
Pit Boss 2:
E-mail Address:
*
Tournament Director Cell:
(for eg. 555-333-6778)
*
Area:
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-Online Championship
30
AK - Anchorage
AK - Haines
AK - Juneau
AZ - Globe
CT - Norwich
CT - New Haven
DC - Washington, D.C.
FL - Cape Coral
FL - Key Largo
FL - Key West
FL - Sarasota
FL - Tampa
GA - Kennesaw
IL - Cook/Kane County
IL - Quincy(Adams County)
IL - Springfield
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IN - Northwest Region
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MD - Middletown
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MD - Waldorf
MD - Washington County
MI - Detroit
MI - Oxford
MI - Petoskey
MI - Topinabee
MI-Dearborn
MN - Barnesville
MO - Columbia
MO - Pacific
MO - St. Louis
MO - St. Peters
MS - Waveland
NC - Goldsboro
NC - Mebane
NC - TRIAD(Burlington/Greensboro/Mebane
NC - Asheville
NC - Boone
NC - Charlotte
NC - Cornelius
NC - Creedmoor
NC - Elizabeth City
NC - Fayettville
NC - Greenville
NC - Jacksonville
NC - Lumberton
NC - New Bern/Morehead City
NC - Onslow County
NC - Raleigh/Durham
NC - Rockingham County
NC - Smithfield/Selma
NC - Southern Pines
NC - Wilmington
NC - Winston Salem
NH - Manchester
NJ - Atlantic City
NJ - Central
NJ - Montague
NJ - North
NJ - Ocean County
NJ - South Jersey
NJ - South Jersey Shore
NM - Carlsbad
NM - Albuquerque
NM - Bloomfield
NM - Jemez Springs
NM - Los Alamos
NM - Ruidoso
NM - Santa Fe
NM - Truth or Consequences
NV - Las Vegas
NY - New York
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NY - Westchester County
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OH - Cincinnati
OH - Cleveland
OH - Columbus
OH - Wickliffe
PA - Clearfield
PA - Altoona
PA - Clarion County
PA - Erie
PA - Gettysburg
PA - Great Bend
PA - Hallstead
PA - Harrisburg
PA - Hollidaysburg
PA - Huntingdon Co.
PA - Johnstown
PA - Meadville
PA - Milford
PA - Philadelphia
PA - Pittsburgh
PA - Poconos/Lehigh Valley
PA - Reading
PA - Scranton
PA - Tri-County(Crawford,Venango,Forest)
PA - Wayne County
PA - Wilkes-Barre
PA - York
RI - South
SC - Myrtle Beach
TN - Chattanooga
TN - Humphreys Co.
TN - Nashville
TX - Lubbock
TX - Amarillo
TX - Anderson
TX - Fort Worth
TX - Galveston
TX - Houston
VA - Staunton
VA - Dinwiddie
VA - South Hill
VA - Blackstone
VA - Danville
VA - Emporia
VA - Farmville
VA - Fredericksburg
VA - Gloucester
VA - Herndon
VA - Hopewell
VA - Martinsville
VA - Norfolk
VA - Petersburg
VA - Richmond
VA - Roanoke
VA - Stafford
VA - Virginia Beach
VA - Woodstock
WI - Menomonie
WI - West Bend
My Area not listed
Max No. of Tables:
5
6
7
8
9
10
Max No. of Players per Table:
1
2
3
4
5
6
7
8
9
10
11
12
I accept the
Terms and Conditions
Download Registration Packet
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