Fill out this form for tournament entry or to make a charity donation.

First Name*
Last Name*
Donation Type*	Select any one 1. Tournament Entry Only (no $ for charity): $65.00 (5K starting units) 2. Tournament Entry plus Charity Addon: $85.00 (10K starting units) 3. Multiple Entries/Addons (put total $ in Payment Amount below) 4. Dinner Only at June Event: $35.00 5. Add-On Only at Tournament of Champions: $25.00 6. Donation to Special Olympics Florida (enter amount below)
	Enter dollar amount below from your Donation Type selection above:
Payment Amount *
Street Address *
City*
State*
Zip Code*
Phone*
Email*
Payment Method”*	Select any one VISA MasterCard AMEX Discover
Credit Card Number*
Expiration Date” (MM/YY)*
Security Code”*

PokerDawgs Tampa Bay Charity Tournament
April 04, 2020, 5:30 pm
All Players Welcome