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Event Registration
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Name
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Your answer
Email
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Your answer
Phone Number
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Your answer
Event Name
*
Your answer
Date of Event
*
MM
/
DD
/
YYYY
Game System
*
Malifaux
Dragon Dice
Song of Ice and Fire
Supershow
Learn to Play
Flesh and Blood
Other:
Do you want to prepay for the event? (DO NOT SUBMIT PAYMENT INFO ON THIS FORM, Refuge Gaming Staff will contact you to arrange for payment.)
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