Name:
Phone: ext
E-mail Address:

Mailing Address:
City, State, Zip :

Enter your message:

Please take just a moment to tell us about your party needs. Once completed, please press the SUBMIT button at the bottom of the page. You may reset the form if you should need to make changes:

Number of Guests:
Casino Party Date:
Event Location:
Casino Start Time:
Casino End Time:

Will the Casino be a Fundraiser: Yes  No
Will you be having a Silent Auction? Yes  No
Will the Casino be open to the public? Yes  No

Select All that apply:
Buffet Sit-Down Meal
DJ/Dancing Speaker/Presenter Other

Equipment Request:
Blackjack Craps Roulette Poker/Texas Hold'Em
Let-It-Ride 3-Card Poker

Entertainment Needs:
DJ & Emcee Karaoke Video

Will you need any Decor Packages? Yes  No
Will you need tickets and a drum for a raffle? Yes  No
Will you cash out tickets for prizes? Yes  No