Luck of the Lonestar Old West Casino Fundraiser SERLEPC Casino Night FliersDownload Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Casino Night Flyers 2 Casino Night Flyers 1 Early bird special! Purchase your tickets by November 25th and receive $500 in extra casino cash! Name *FirstLastCompany or Organization NameAddress *Address Line 1City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhoneEmail *High Roller $1,500.00 Reserved VIP table with premium liquor service (one bottle and setups included) Premier logo placement on event signage, program, and marketing materials Recognition during opening remarks and prize announcements Option to display company banner at event entrance 8 event tickets (includes food, drinks, and an additional $1,000 casino cash) Featured website promotion Royal Flush $1,000.00 Reserved VIP table Prominent logo on signage and event program Recognition at the prize announcements 6 event tickets (includes food, drinks, and additional $500 casino cash) Website promotion Lucky 7 $500.00 Logo displayed on a gaming table and in event program 4 event tickets (includes food, drinks, and casino cash) Website promotion *High Roller SponsorRoyal Flush SponsorLucky 7 Table SponsorEvent TicketsPrice: $50.000123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100Includes: Vegas-style buffet 2 Drink Tickets $1,500 Casino Cash 20 + Casino Tables & MORE! Payment 4% Price Secure online payment processing fee 4%Price: $0.00Total Price Order Summary Item Quantity Qty Total There are no products selected. High Roller Sponsor1$1,500.00Royal Flush Sponsor1$1,000.00Lucky 7 Table Sponsor1$500.00Event Tickets0$0.00Secure online payment processing fee 4%1$0.00SubtotalTotal$0.00 $0.00Payment Method *Credit CardCheckAuthorize.Net *Card NumberMM123456789101112Expiration/YY2627282930313233343536Security CodePaying by Check? Please make checks payable to: Southeast Regional LEPC and in the memo line list event ‘Casino Night’ Fundraiser Check NumberIf you don’t have a check number yet, please attach the invoice from your confirmation email if you plan on delivering it in person. Thank you!*** Tickets will be available at check-in *** Date / TimeDateTimeSubmit