Event Registration w/ Payment Please fill out the event registration form below and provide the payment information Casino Night at Dublin Deck Open Bar • Dinner Buffet • Door Prizes Casino Tables • Raffle Baskets In order to minimize food waste, we kindly ask that you register only if you are certain of your attendance. This helps us in ensuring that food is enjoyed and not wasted. Thank you for your understanding and cooperation. Please fill out the form below to register for this event. Please fill out the form below to register for this event, and submit with your payment information. Name * First Last * Last Phone No. Email Address * Confirm Email Address * Notes/Special Instructions Number of attendees: Per adult Per Adult: $100.00 Quantity Total: Payment Information Enter your credit card information * Enter your credit card information <em>*We do not store your credit card information</em> *We do not store your credit card information CC Month Month 123456789101112 CC Month CC Year Year 20242025202620272028202920302031203220332034 CC Year Enter your credit card information All proceeds go to benefit the Spectrum of Dreams a 501(c)3 charity organization Sign Me Up Sign me up for a monthly donation Amount $ If you are human, leave this field blank. Next
