Ladies Poker Association

LPA Membership

application

	Name
	Address Street
	City
	State, Zip
	Email
	Age
	How long have you been playing poker?
	Are you (P)rofessional or (R)ecreational?
	What city do you play in most?
	How often do you play?
	How often do you play online?

	What are your biggest accomplishments in poker?

LADIES POKER ASSOCIATION, LLC

Men and Women Welcome