![]() |
|
![]() |
|||
|
Official Team Entry
Form
|
|||||
|
Team Name
|
. | ||||
|
Contact Person:
|
. | ||||
|
Contact Address:
|
. | ||||
| City:________________________________Prov/State:___________________Postal Code:___________________ | |||||
| Home Phone (_____) ________________________ Work/Cell Phone (______) ____________________________ | |||||
| Fax (_____) __________________________ EMAIL (mandatory) ______________________________________ | |||||
|
Please print all above information clearly
|
|||||
|
Entry Fee: $395.00 Per Team
|
|||||
|
Entry Fee is Non-Refundable
|
|||||
|
Registration Deadline: May 1, 2008
|
|||||
|
Space is limited so Register early!
|
|||||
|
Payment method: CASH, CHEQUE, VISA, MASTERCARD,
AMERICAN EXPRESS, DEBIT CARD
|
|||||
|
Your entry is not confirmed until COMPLETE PAYMENT
has been received.
|
|||||
| Mail Cheques payable to: |
Sportsplex
|
||||
|
#100 - 20165 - 91A Ave, Langley, BC, V1M 3A2
|
|||||
|
For Registration Information call: 604-882-1611
ext. 703 or email: shill@bciha.com
|
|||||