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Emmanuel Youth Puzzle Night Fundraiser

You’re the team captain! What’s your name?

What’s your email?

Please list your cell phone (for texting)

Please list the members of your team

What type of pizza do you want?

For your 12 pack beverage, please list your pop or beer choice. *Beers must be domestic. (Seltzers can be brought in by your team, but will not change registration fee.)