Casino Night Table Sponsors

Form for the purpose of sponsoring a table at the casino night!

We are asking for you to send us $200 to sponsor a table. We would also like you to supply a gift basket representing your company for approximately $30.00. In addition we would like you to supply a dealer/operator for a table to be able to talk about your company during the event. If you can not supply a dealer we will do that for you.
Company Name
Name*
First Last
Email Address*
Enter Email Confirm Email
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Sponsor Table Quantity*
Price: $200.00
Total
$0.00