2023 Poker Tournament Registration Poker 2023 Registration Corporate or Hill player?(Required)Hill players include Chiefs of Staff & Members of Congress. Corporate Hill Attendance:(Required) Chief will be attending the Poker Tournament on May 11, 2023. Representative/Senator will be attending the Poker Tournament on May 11, 2023. Legislative Director will be attending the Poker Tournament on May 11, 2023. Check all boxes that apply.Chief of Staff Name(Required) First Last LD Name(Required) First Last Point of Contact (Name):(Required) Title:(Required) Company:(Required) Email(Required)Please include an email address that you will have access to the day of the event. Enter Email Confirm Email Alternate Office Contact Email: Enter Email Confirm Email Office Phone(Required)Used for our player directory.Cell PhoneHouse or Senate office?(Required) House Senate Office of Representative:(Required) State-District(Required) Office of Senator:(Required) State Abbreviation(Required) Office Building:(Required) Cannon Longworth Rayburn Room Number:(Required)Office Building:(Required) Dirksen Russell Hart Room Number:(Required)Office Party Affiliation:(Required) D R Please indicate which committees your office's Representative serves on: Agriculture Appropriations Armed Services Budget Education and Labor Energy and Commerce Ethics Financial Services Foreign Affairs Homeland Security House Administration Intelligence (Permanent Select) Judiciary Natural Resources Oversight and Government Reform Rules Science, Space, and Technology Small Business Transportation and Infrastructure Veterans’ Affairs Ways and Means Joint Economic Committee Joint Committee on the Library Joint Committee on Printing Joint Committee on Taxation Please indicate which committees your office's Senator serves on: Aging (Special) Agriculture, Nutrition and Forestry Appropriations Armed Services Banking, Housing, and Urban Affairs Budget Commerce, Science and Transportation Energy and Natural Resources Ethics (Select) Environment and Public Works Finance Foreign Relations Health, Education, Labor, and Pensions Homeland Security and Governmental Affairs Indian Affairs Intelligence (Select) International Narcotics Control (Special) Judiciary Rules and Administration Small Business and Entrepreneurship Veterans’ Affairs Joint Economic Committee Joint Committee on the Library Joint Committee on Printing Joint Committee on Taxation The Congressional Award fully abides by rules set forth by the House and Senate Ethics Committees. Invitations are Non-Transferable. You will recieve a confirmation email upon clicking “Submit” that shows all of the information you’ve submitted.Select your sponsorship level:(Required) Package Sponsor at the Strategic, Gold, Silver, or Bronze level All-In Sponsor ($25,000) Royal Sponsor ($15,000) Refreshment Sponsor ($10,000) Raffle Sponsor ($10,000) Table Sponsor ($5,000) Corporate Ante Up ($1,500) Raise Donation ($1,500) Individual Player ($500) Spectator ($100) In-Kind Sponsor Guest Player (Non-Sponsor) Personal donations only. Registered lobbyists are NOT eligible for this rate.Item Description:(Required)Market Value:(Required)Will you be paying for your sponsorship via check, credit card, or wire transfer?(Required) Check Credit Card Wire Transfer Great! Please make out checks to The Congressional Award and mail to: THE CONGRESSIONAL AWARD | PO BOX 77440 | WASHINGTON, DC 20013 The Congressional Award Foundation is a not-for-profit 501 c(3) organization.All contributions are tax deductible to the full extent allowed by law. Tax ID# 52-1168592 This information will also be included in your confirmation email.Great! A member of our team will follow up shortly with wire transfer instructions. The Congressional Award Foundation is a not-for-profit 501 c(3) organization.All contributions are tax deductible to the full extent allowed by law. Tax ID# 52-1168592 This information will also be included in your confirmation email.Sponsorship Level Price Price: $ 0.00 Stripe Processing Fee Price: $ 0.00 Total Credit CardCard Details Cardholder Name Player InformationEach level of sponsorship includes a specific number of poker slots – please refer to your sponsorship level and provide information as appropriate. This form should be filled out for each individual player from your group that you know will be participating. If you don’t have all of your players’ information at this time, you can fill out just the player information form(s) separately later on.Player 1 Name(Required) First Last Email(Required)Please include an email address that you will have access to the day of the event. Enter Email Confirm Email Office Phone(Required)Used for our player directory.Cell PhoneCompany:(Required) Title:(Required) Office Address:(Required) Street Address Unit/Suite City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Submitting additional player information forms? Player 2 Player 3 Player 4 Player 5 Player 6 Submitting additional player information forms? Player 2 Player 3 Player 4 Submitting additional player information forms? Player 2 Player 3 Player 2 Name(Required) First Last Email – Player 2(Required)Please include an email address that you will have access to the day of the event. Enter Email Confirm Email Office Phone – Player 2(Required)Used for our player directory.Cell Phone – Player 2Company – Player 2(Required) Title – Player 2(Required) Office Address – Player 2(Required) Street Address Unit/Suite City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Player 3 Name(Required) First Last Email – Player 3(Required)Please include an email address that you will have access to the day of the event. Enter Email Confirm Email Office Phone – Player 3(Required)Used for our player directory.Cell Phone – Player 3Company – Player 3(Required) Title – Player 3(Required) Office Address – Player 3(Required) Street Address Unit/Suite City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Player 4 Name(Required) First Last Email – Player 4(Required)Please include an email address that you will have access to the day of the event. Enter Email Confirm Email Office Phone – Player 4(Required)Used for our player directory.Cell Phone – Player 4Company – Player 4(Required) Title – Player 4(Required) Office Address – Player 4(Required) Street Address Unit/Suite City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Player 5 Name(Required) First Last Email – Player 5(Required)Please include an email address that you will have access to the day of the event. Enter Email Confirm Email Office Phone – Player 5(Required)Used for our player directory.Cell Phone – Player 5Company – Player 5(Required) Title – Player 5(Required) Office Address – Player 5(Required) Street Address Unit/Suite City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Player 6 Name(Required) First Last Email – Player 6(Required)Please include an email address that you will have access to the day of the event. Enter Email Confirm Email Office Phone – Player 6(Required)Used for our player directory.Cell Phone – Player 6Company – Player 6(Required) Title – Player 6(Required) Office Address – Player 6(Required) Street Address Unit/Suite City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code The Congressional Award Foundation is a not-for-profit 501 c(3) organization.All contributions are tax deductible to the full extent allowed by law. Tax ID# 52-1168592 You will recieve a confirmation email upon clicking “Submit” that shows all of the information you’ve submitted.Questions? Please email Rachel Mallory at mallory@congressionalaward.org. Additional Players? Additional Player Information Poker - Additional Player Forms Please fill out this form if you are submitting information for additional players included in your sponsorship level that you did not submit information for upon registration. Sponsorship Point of Contact (Name):(Required) Title:(Required) Company:(Required) Email(Required)Please include an email address that you will have access to the day of the event. Enter Email Confirm Email Select your sponsorship level:(Required) Package Sponsor at the Strategic, Gold, Silver, or Bronze level All-In Sponsor ($25,000) Royal Sponsor ($15,000) Refreshment Sponsor ($10,000) Raffle Sponsor ($10,000) Table Sponsor ($5,000) Submitting additional player information forms? Player 2 Player 3 Player 4 Player 5 Player 6 Submitting additional player information forms? Player 2 Player 3 Player 4 Submitting additional player information forms? Player 2 Player 3 Player 2 Name(Required) First Last Email - Player 2(Required)Please include an email address that you will have access to the day of the event. Enter Email Confirm Email Office Phone - Player 2(Required)Used for our player directory.Cell Phone - Player 2Company - Player 2(Required) Title - Player 2(Required) Office Address - Player 2(Required) Street Address Unit/Suite City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Player 3 Name(Required) First Last Email - Player 3(Required)Please include an email address that you will have access to the day of the event. Enter Email Confirm Email Office Phone - Player 3(Required)Used for our player directory.Cell Phone - Player 3Company - Player 3(Required) Title - Player 3(Required) Office Address - Player 3(Required) Street Address Unit/Suite City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Player 4 Name(Required) First Last Email - Player 4(Required)Please include an email address that you will have access to the day of the event. Enter Email Confirm Email Office Phone - Player 4(Required)Used for our player directory.Cell Phone - Player 4Company - Player 4(Required) Title - Player 4(Required) Office Address - Player 4(Required) Street Address Unit/Suite City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Player 5 Name(Required) First Last Email - Player 5(Required)Please include an email address that you will have access to the day of the event. Enter Email Confirm Email Office Phone - Player 5(Required)Used for our player directory.Cell Phone - Player 5Company - Player 5(Required) Title - Player 5(Required) Office Address - Player 5(Required) Street Address Unit/Suite City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Player 6 Name(Required) First Last Email - Player 6(Required)Please include an email address that you will have access to the day of the event. Enter Email Confirm Email Office Phone - Player 6(Required)Used for our player directory.Cell Phone - Player 6Company - Player 6(Required) Title - Player 6(Required) Office Address - Player 6(Required) Street Address Unit/Suite City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Questions? Please email Rachel Mallory at mallory@congressionalaward.org.
