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Poker Ride Registration

11th Annual Scholarship Poker Ride will be held
Saturday, July 20, 2013

 

Entry fee is $25 per person and includes t-shirt, lunch, poker hand and donation to scholarship fund.

 

Information:
(Shirt size guaranteed by July 2)

Indicates a Required Field
Vehicle:
Motorcycle
Car or Truck
Vehicle Make, Model and Year:
Person #1:
Rider
Passenger
Minor
Person #1 First Name:
Person #1 Last Name:
Person #1 Street Address:
Person #1 City:
Person #1 State:
Person #1 Zip:
Person #1 Phone Number:
Person #1 Email:
Person #1 T-shirt Size:
Person #2:
Rider
Passenger
Minor
Person #2 First Name:
Person #2 Last Name:
Person #2 Street Address:
Person #2 City:
Person #2 State:
Person #2 Zip:
Person #2 Phone Number:
Person #2 Email:
Person #2 T-shirt Size:
Payment Method:
I will mail a check payable to Iowa Lakes Community College Foundation
Please bill me for the total amount due
Payroll Deduct for Employees of Iowa Lakes
Verification Code:
Iowa Lakes Community College
Campuses in Algona, Emmetsburg,
Estherville, Spencer and Spirit Lake.

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Questions or comments? Please email us at info@iowalakes.edu or call 712-362-2604 or 800-521-5054.
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