LAUGHLIN BASH REGISTRATION Form
Name
City/Town and State/Province
Public Safety Organization  (If Any)
Public Safety Occupation
Date of Arrival and Number of People
EMail Address
                  Which Hotel are you staying at ?
Please Register for the Laughlin Bash using the above form.   Please Register  whether your
staying at the hotel or not. This is the only way we know how many people will be attending and
to let the hotel know how many rooms to set aside.

Remember, after hitting the SUBMIT button, hit the RESET button to clear your personal information.

September 30th - October 3rd, 2010

         

Thanks for your continued support and come to have fun!

Information regarding rates at the Colorado Belle or
Edgewater Casino will be posted soon.