White Lightning Casino Registration Form Name _________________________________________________________________________ Address ______________________________________________________________________ City __________________________________ State _______ Zip Code _____________ Date of Birth (Optional) _____________________________________________________ Comments _____________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Registration is only $5! Make your checks payable to Nicholas Sakurai or just send a five dollar bill to this address: Nicholas Sakurai P.O. Box 1532 West Chester, OH 45071 Remember, if you register, we will send you some cool tricks, tips, and strategies! Thank you for your time. From, Nicholas Sakurai and Robert Herman