Tavern Registration
Fields marked with
*
are required..
If you are a
Player click here to Register
*
First Name:
*
Last Name:
*
Tavern Name:
*
Owner/Mgr
Name:
*
User Name:
*
Email:
To enter more than one e-mail address, please use a semicolon to separate
*
Password:
*
Re-Enter
Password:
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ZIP:
(for eg: 34344)
Other State:
(Other State is only for "Others" as Country option.)
*
Phone #:
(for eg. 555-333-6778)
Cell #:
(for eg. 555-333-6778)
Fax #:
Website:
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Please enter the names of your staff who may be in charge or helping with your Poker events
*
Pit Boss 1:
E-mail Address
Pit Boss 2:
E-mail Address:
*
Area:
Select your Area
AK - Anchorage
AK - Haines
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MD - Waldorf
MD - Washington County
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MI - Oxford
MI - Petoskey
MI - Shelby Township
MI - Topinabee
MI-Dearborn
MN - Barnesville
MN - Goodhue County
MN - Midwest
MN - St. Paul/Inver Grove
MO - Columbia
MO - Pacific
MO - St. Louis
MO - St. Peters
MS - Waveland
NC - Mebane
NC - Asheville
NC - Boone
NC - Charlotte
NC - Cornelius
NC - Creedmoor
NC - Elizabeth City
NC - Fayettville
NC - Greenville
NC - Jacksonville
NC - Lumberton
NC - Onslow County
NC - Raleigh/Durham
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NC - Wake Forest
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NJ - Atlantic City
NJ - Belmar
NJ - Central
NJ - Montague
NJ - North
NJ - South Cumberland Cty
NJ - South Jersey
NJ - South Jersey Shore
NJ - Toms River
NM - Carlsbad
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PA - Clearfield
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PA - Erie
PA - Gettysburg
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PA - Harrisburg
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PA - Huntingdon
PA - Johnstown
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PA - Milford
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PA - Reading
PA - Roaring Branch
PA - Scranton
PA - Shippensburg
PA - Wayne County
PA - West Hazleton
PA - Wilkes-Barre
PA - Williamsport
PA - York
TN - Chattanooga
TN - Humphreys Co.
TN - Nashville
TX - Amarillo
TX - Anderson
TX - Fort Worth
TX - Galveston
TX - Houston
VA - Dinwiddie
VA - South Hill
VA - Blackstone
VA - Broadlands
VA - Emporia
VA - Fredericksburg
VA - Gloucester
VA - Herndon
VA - Hopewell
VA - Martinsville
VA - Norfolk
VA - Petersburg
VA - Potomac Falls
VA - Richmond
VA - Roanoke
VA - Stafford
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WI - Sheboygan
WI - Superior
WI - Waterford
WI - Wautoma
WI - Woodville
WY - Gillette
WY - Laramie
WY - Powell
My Area not listed
Max No. of Tables:
5
6
7
8
9
10
Max No. of Players per Table:
1
2
3
4
5
6
7
8
9
10
11
12
I accept the
Terms and Conditions
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