2025 Casino Night

Registration Form

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If you require assistance with resetting your password, please can click on the "Forgot Password" link on the login screen (located in the upper right corner)
to receive an automated reset email with instructions.

* First Name

* Last Name

* E-mail Address

* Mobile Phone

* Address, Line 1

Address, Line 2

* City

* State

* ZIP Code

Entrance Fee (Donation)
Please register for each person attending

$100 (10,000 Chip Value)

$200 (25,000 Chip Value)

Casino Night Sponsorship

Yes, I/We would like to sponsor one of the 10 Gaming Tables ($500/sponsor)

Sponsors will be highlighted in all event promotion and will receive special recognition at the event.

How did you hear about Casino Night? (check all that apply):

Temple Beth El marketingTemple Israel marketingJewish Journal advertising (please specify below)Word of Mouth / from a friendOther (please specify below)

If you saw an advertisement in the Jewish Journal, please indicate the date(s) of the publication:

If you you heard about Casino Night in another way, please indicate below:

Please check total before submitting this form.

Credit Card Convenience Fee: On the Payment Page, please consider adding to your payment the amount to cover the Credit Card Convenience Fee to help offset processing costs. Please note: if you pay via E-check, there is no convenience fee.

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Wed, February 5 2025 7 Shevat 5785

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2815 North Flagler Drive | West Palm Beach, FL 33407
Phone: 561-833-0339 | E-mail: office@bethelwpb.com

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