Smith and Wesson Takes Aim at Cancer

Poker Run

Registration Form
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August 30th, 2009    This is a rain or shine event.

Registration/Start Time 9:00 to 11:00

*Pre-registration:  $15 per Driver, $5 per passenger
                   *Must be received by August 15, 2009

Registration day of event:  $20 per Driver, $5 per passenger

Driver Name: ___________________________________________________

Passenger Name: ________________________________________________

Street address: _________________________________________________

City, State, Zip: _________________________________________________

Amount enclosed $ _________________

Mail to:

The Young Men’s Club of Hadley

Attn: Poker Run

138 East St

Hadley, MA  01035

Because of age and other restrictions, not all persons will be eligible to participate or be eligible for some prizes described in this promotion.  Prize winners are responsible for all applicable State and Federal taxes.  Handgun Raffle winner must be legally able to own a firearm.  Other restrictions may apply.  Promotion may be cancelled or changed at any time.

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