PARKSVILLE PANTERS SENIOR HOCKEY

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Team Registration - When filling out this form please stay on this page
until it has been completed

Team Entry Fees:
World Classic Sept 6th - 11th, 2010 - $1500 per Team. If registering send a deposit of $750.00 with the balance to be paid by 1 May 2010. Please make cheques payable to "Panter Hockey" and mail to Jack Verspagen, 544 Soriel Rd, Parksville, BC, V9P 2Z7.

Team Name*
Select*
Age & Division*
Home Colors
Away Colors
Manager*
Address
City*
Prov/State
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Phone 1*
Phone 2
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Email*

Click Here To fill out a mail-in form for the January Junket

To fill out a mail-in form for the 2010 World Classic Click Here

 

 

 

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