Registration form august 1-August 2, 2015 Team Name
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| 2015 ATLANTIC CUP
TEAM REGISTRATION FORM August 1-August 2, 2015 Team Name: ______________________________ Team Manager: ______________________________ Address: ____________________________________________ City: __________________ Postal Code: ______________ Telephone: (H) _________________ (W) ________________ (C) __________________ Email: __________________________________ Fax: ____________________ Uniform / Sock Color: _____________________________
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Fees: $ 550.00 Late fee: $ 575.00 Cheque payable to: Field Hockey Nova Scotia Due by 19 July 2013 Payment
Signature: _______________________________ Please send to: Jean-Pierre Brien 6131 Charles St. Halifax, Nova Scotia B3K 1L2
902-488-8665 (W) 902-307-0238 Email: jean.pierre.brien@gmail.com PLEASE NOTE: Once registration has been received, teams will be subjected to a $100.00 non-refundable administration fee should they cancel their attendance before July 25th. Registration fees cannot be refunded to teams cancelling after July 26th. Directory: Portals Portals -> Draft I film Screening Portals -> Black History Academic Bowl arts & entertainment Portals -> Setting the Table for a Successful Season Download 6.37 Kb. Share with your friends:
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