The 6th Annual Casino Night
Register now for the 6th Annual Casino Night!
6th Annual Casino Night
Thursday, August 23, 2012
The Waterside Restaurant
7800B River Road, North Bergen, NJ

6:00 p.m.-7:00 p.m. — Dinner
7:00 p.m.–10:30 p.m. — Gambling
10:30 p.m. — Raffle and 50/50 Raffle Drawings


Presented By



All proceeds support the Palisades Medical Center Foundation.

Presenting Sponsors



Get Lucky At Our Vegas-Style Casino!
Roll the dice in Craps, play Roulette, or try your luck at Blackjack, Poker, Texas Hold 'Em, and more! Win great raffle prizes and take a chance on the 50/50 — last year's winner took home $5,000!

$100 Admission Includes:
Delicious hors d'oeuvres, buffet dinner, beer, wine, soda and $150 in Casino Chips. Additional chips may be purchased throughout the evening at special rates.

Click here to see photos from last year's 5th Annual Casino Night!

Please customize your registration using the form below, or click here to download a printable registration form. All personal and credit card information will be collected after you click through to the Secure Payment Form. If you have any questions, please call Denise Whitley at (201) 854-5011.

Sponsorships
Presenting Sponsor ($1,000)
• Includes Sponsor Board and 4 Tickets
Table Sponsor ($500)
• Includes Sponsor Board and 2 Tickets
Friend Sponsor ($250)
• Includes Sponsor Board

Tickets
Reception/Gambling Tickets are BUY 5, GET 1 FREE! Enter the total number you want into the boxes below.
Reception/Gambling Tickets at $100 each (Buy 5, Get 1 Free!) = $
Reception/Gambling PLUS Texas Hold 'Em Tournament Tickets at $150 each = $
• 3.5-hour continuous tournament; Begins at 7:00 p.m.

Attendee Information
You may notify us of your guest names at a later date by calling the Foundation Office at (201) 854-5008 or by e-mail (gmignone@palisadesmedical.org).
Guest 1 Name:
E-Mail:
Guest 2 Name:
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Guest 3 Name:
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Guest 4 Name:
E-Mail:
Guest 5 Name:
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Guest 6 Name:
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Guest 7 Name:
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Guest 8 Name:
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Guest 9 Name:
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Guest 10 Name:
E-Mail:

Other Ways to Help (check as many as are applicable)
50/50 Raffle Tickets at $10 each = $
I would like to donate the following prize(s) for the raffle:    Value: $
I am unable to participate but would like to make a donation: $

TOTAL = $
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7600 River Road, North Bergen, New Jersey, 07047  •  (201) 854-5008