2003 Poker Run





Poker Run Entry Form
Your Name(s)_____________________________________________

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.