Bankers Registration Form

MONOPOLY® NIGHT 2015
VOLUNTEER BANKER’S REGISTRATION FORM
Saturday, May 9, 2015 at 5:45pm
Name:
(As you would like it to appear in the program)
Company/Agency Name:
Contact Address:  Home
 Office
City: State: Zip: Office Phone:
Cell Phone:
Home Phone:
Email:
We will acknowledge your participation in the 15th Annual MONOPOLY® Night fund-raising event
based on the information you provide above.
A required training session (approx. 45 minutes) will be conducted the evening of Wednesday, May 6, 2015,
beginning at 6:00 PM at the Belleair Country Club located at One Country Club Lane in Belleair, Florida, 33756.
The club’s phone number is 727-461-7171.
Again, thank you for supporting Charity Works, Inc.
Charity Works Inc. | 635 Court Street, Suite 130 | Clearwater, FL 33756-5512
727.447.2064 | Fax 727.447.1892 | www.charityworks.org
`