BINGO Reservation Form

THIS OPTION IS FOR MEMBERS ONLY AND MUST BE SUBMITED BY 5PM ON FRIDAY FOR THAT NIGHT’S BINGO.

Contact Person's Email*
Date of Reservation*
How many people will be playing Bingo?*
If more than 3 people, please submit a separate form.
- 1
- 2
- 3
Hidden
Number of BINGO Packets ($20/each)
Person #1 Name
First Last
Number of Bingo Packets for Person #1 ($20/each)*
Person #2 Name
First Last
Number of Bingo Packets for Person #2 ($20/each)
Person #3 Name
First Last
Number of Bingo Packets for Person #3 ($20/each)
CHOOSE ANY EXTRAS BELOW FOR ALL PLAYERS IN YOUR PARTY
Number of Small Cover Alls ($1/each)
Number of Last Game Cover Alls ($2/each)
Number of Dabbers ($2/each)
Number of Queen of Hearts ($1/each)
The Queen of Hearts tickets will be put in the drum for you.
Total Due at BINGO
You may pay with credit card, check, or cash.