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ent001391-052
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I agree.J (please print) street address____17046 Burbank___________________________________________________ city ; >???√ß) > Encino ; ;______?╟?___________state or country_______California partner's name MRS ^ MARK LAYTON__________________________________________________ STREET ADDRESS_________?╟?___________;_____,________________________________________ CITY___________________________________________STATE OR COUNTRY ______________ ?√φ I will arrange for my/our own accommodations at the Sands Hotel. LIST ACCOMMODATION REQUIREMENTS :_______________________________________________ REMARKS________ _______-RESERVATION MADE VIA BEVERLY HILLS OFFICE_________________ /o/y ^ /sr W^^^. ^FIC1AL ENTR?╤ BLANK THE SANDS 1st ANNUAL INTERNATIONAL BRIDGE TOURNAMENT MR. SANDY WATERMAN, THE SAjsTDS HOTEL, LAS VEGAS, NEVADA \ I ?√φ Check if single entry 0 Check if pair entry V name_________MRS. SAM BLOOM____________1________ ?√φ Enclosed is my/our Entry Fee of $. S I will pay the Entry Fee upon arrival.