Casino Night Checkout - NOVA Hope for Haiti

NOVA-Casino-Nightgraphic

Friday, March 24, 2023

Doors Open 6:45 P.M.

Park Ridge Marriott
300 Brae Boulevard
Park Ridge, NJ

Casino Night Event Registration Form

Please complete this form to register for the event.

Step 1 of 4

I am interested in:
Select All That Apply
- Becoming A Sponsor
- Purchasing A Bus Ticket

Additional Donation To Continue Support Our Mission
Donate to help NOVA continue its mission of providing medical care to the community of Cavaillon Haiti. Proceeds to benefit our medical clinic’s reconstruction and annual operating expenses.
Total
$0.00
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Additional Guest 1*
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Additional Guest 2*
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Additional Guest 3*
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Additional Guest 4*
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Additional Guest 7*
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Additional Guest 8*
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Additional Guest 9*
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Email*
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Phone
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Address*
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Credit Card*

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Supported Credit Cards: American Express, Discover, MasterCard, Visa
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