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Roundup


SAM’S TOWN RESORT AND CASINO, LAS VEGAS, NV

April 23, 24, 25,26,27, 28, 2017  

REGISTRATION


NAME:

SPOUSE/GUEST:

ADDRESS:

CITY:

STATE:

ZIP:

PHONE:

EMAIL:

BASE:

ACTIVITY

PER PERSON


NUMBER

TOTAL

Registration Fee

$30.00

X


Fun Night

$15.00

X



Joint Luncheon

$30.00

X



Banquet (Buffet)

$45.00

X






TOTAL


I will

or will not have a vehicle

(check one or other)

Please make checks payable to: USSVI

Send to:

Gene Kellar

7442 S. Catawba Way

Aurora, CO 80016-5212

Phone: (303) 988-7661


QUESTIONS

Call Gene E. Kellar or Email: submariner.caucus@gmail.com

Website: wrroundup.com


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