World Tavern Poker America's #1 Bar Poker League
REGIONAL NEWS

1
TAVERN INFO
Tavern Name:*
Phone #:*
(eg. 555-333-6778)
Address:*
City:*
State:*
Zip:*
Website:
(eg. 34344) (eg. www.worldtavernpoker.com)
Area: 
County
Fax #:
Facebook Url:
( eg. http://www.facebook.com/worldtavernpoker )
2
YOUR INFO
First Name:*
Last Name:*
User Name:* 
Gender:
Password:* 
Re-Password:*
Email:* 
Re-Enter Email:
 
Date of Birth:
I am a :
Cell #:*
Time Zone:
(eg. 555-333-6778)
3
SHIPPING ADDRESS
Click here,If your shipping address is different
Address:
City:
State:
Phone #:
Zip:
(eg. 555-333-6778) (eg. 34344)
4
STAFF INFO
Please enter the names of your staff who may be in charge or helping with your poker events
TOURNAMENT DIRECTOR 1 : 

First Name: Last Name:
Phone #: Email:

TOURNAMENT DIRECTOR 2 : 

First Name: Last Name:
Phone #: Email:
5
GAME INFO
On what day of the week would you like to hold your Poker Tournaments: 
Poker Tournaments Time
How many tables can you fit for your Poker Tournaments: 
How many players per table: 
  I accept the Terms and Conditions
  I certify that I am a manager or owner with this location and have the authority to join World Tavern Poker
 I am committed to making this promotion a success at our establishment
 This bar was referred by Enter player username

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