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8th Annual Pacific Coast International Roller Hockey Tournament July 4-6, 2008 Victoria, BC |
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Official Team Entry
Form
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Team Name
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Division:
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Level (circle one):
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Contact Person:
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Contact Address:
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| City:________________________________Prov/State:___________________Postal Code:___________________ | ||||||||||
| Home Phone (_____) ________________________ Work/Cell Phone (______) ____________________________ | ||||||||||
| Fax (_____) __________________________ EMAIL (mandatory) ______________________________________ | ||||||||||
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Please print all above information clearly
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Entry is not guaranteed until
Entry Form and Entry Fee have been received.
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Age Divisions: (Age
Cutoff December 31, 2007)
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$500.00 Per Team Note: All teams must be members of a BCIHA Sanctioned League. All players must be registered members of BCIHA. |
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Entry Fee is Non-Refundable
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Registration Deadline: June 15, 2008
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Space is limited so Register early!
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Payment method: CHEQUE
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Mail Cheques payable to:
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BCIHA
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100 - 20165 - 91A Avenue, Langley, BC V1M 3A2
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To Register via Phone or Fax:
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Ph: 604-882-1611 ext. 703 Fax: 604-882-1609 |
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For Registration Information call: 604-882-1611
ext. 703 or email: shill@bciha.com
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