20th Edition – Lachine Provincial Optimist Bantam Tournament
From the 4th to 14th of December 2008

REGISTRATION FORM
 

Team name 
Manager's name
Address 
City
Postal Code 
Telephone (home)
Téléphone (office)
Email
Fax 		Class (A,B,BB or CC) 
Coach's name
Address 
City
Postal Code 
Telephone (home)
Téléphone (office)
Email
Fax
 
Team Colors
Home Away  

In what league does your team participate ?  

Complete on line or print, fill and mail with your payment of $ 350 (single letter) or $450 (double letter) payable to
«Tournoi provincial de hockey Bantam Optimiste de Lachine».

a/s M. Normand Carrière
1925, rue St-Antoine, Lachine Qc, H8S 1V5
by Fax : 514-634-0847

CONFIRMATION - By cashing in your check or money order, the Tournament confirms your acceptance. All documentation necessary to the Tournament will by sent by November 9th, 2008.