1. Name of Player
And/or Sponsor _______________________________________________________
Address: _______________________________________________________
_______________________________________________________
Phone: _______________________________________________________
Email: _______________________________________________________
Contact Name: _______________________________________________________
Credit Card Type &
Number: _______________________________________________________
# of player Sponsorship Level
spots (Please Check One)
$60 “Bet on a Boxer” Player spot
$30 Dinner Guest / Supporter
$250 “Gold” Table Sponsorship
$500 “Silver” Table Sponsorship
$1,000 “Platinum” Table Sponsorship
$500 “High Roller” Black Jack Table Sponsor
$ TOTAL PURCHASED
“Friends of Boxers” Raffle/Silent Auction Donor
Item Donated _________________________________________Value ___________
Item Donated _________________________________________Value ___________
Lone Star Boxer Rescue “Have a Heart and Bet on A Boxer”
Texas Hold ‘em Poker Tournament Fundraiser
Friday, February 10th, 2012
6:15pm BBQ Dinner (sponsored by Caliber Controls) and Player Check in
7:30pm Poker Tournament
SPJST Hall Lodge #88 (Heights)
1435 Beall St
Houston, TX
713-869-5767
Mail this Registration form with check or credit card information to:
LSBR 9314 Oratorio Ct
Houston, TX 77040
Questions? Email ann@bwps.com or call 713-569-7678