|Poker Run Entry Form|
Phone Number #___________________________________________
Number of people ______ X 29.00 = $_________
Make check payable to SGYC
Return w/check to: Mike & Kaylyn De Heus
16110 Bonaire Cr.
Huntington Beach, CA 92649
Will you be bringing your boat? _______ Boat Name __________________
Boat type __________________________
Name(s) of passengers you will be taking _____________ _____________
______________ _______________ ________________ _________________
How many additional passengers can you take? ________
If you do not have a boat, please allow Mary Shebell to assign you a place. Mary's phone number is 714-840-3643.