The Simone Team WSOP

Promo #7 Registration Form
This is the Registration Form for TheSimoneTeam WSOP Poker Promotion #7. Only people that live or work in Santa Clara County or Fremont are allowed to play and be eligible for any prizes. All prizes are handed out IN PERSON. Feel free to tell your local poker friends! Good luck... Want a free entry into the WSOP? See our **FREE ENTRY** section...1 minute of your time could send you packing!

* indicates required fields

*First AND Last Name:

*Email Address:

*FullTilt Player Name:

*Live or Work in Santa Clara County or Fremont?:

*Local Address:

*Is this your home or work address?:

Interested in any of the following items?:

Want to know what your home is worth?:

Yes
No

Need assistance in locating your next home?:

Yes
No

A team of Realtors to sell your current home?:

Yes
No

Need help on a loan for home purchase or refi?:

Yes
No

Free MLS searches with instant email notification?:

Yes
No

Know anyone in need of real estate assistance?:

Yes
No

*Are you over 21 years old?:

*Available to go to Lake Tahoe in Nov 2010?:

*Phone# (See Registration page for reason):

*How did you hear about this promotion? (Sponsor?):

*Please re-enter your email address:

Comments / Feedback Welcome:

Want to hear an EASIER way to win a $1500 prize?:

Yes
No

*Have you EVER participated in any of our promos?:

Please click on the Submit button to submit the form details.

The Simone Team: Chris & Francine Simone (408)772-7113

Email: Chris@TheSimoneTeam.com

For all your Real Estate needs, Visit us at:

www.TheSimoneTeam.com

To setup a free MLS Search for your next home CLICK HERE

CLICK HERE TO DOUBLE YOUR CHANCES IN THE NEXT EVENT