Admirals Hockey Club Registration Form

Admirals Hockey Club
Registration Payment Form
Posted 07/15/2008 02:20 PM

YOU MUST PRINT THIS FORM!

**IMPORTANT**
Your registration will not be complete until we receive your payment information!

Payment Information:

^{Player Name:}

^{Registration
for:}

^{Payment Method:}         ^{Amount
Paid:} (see below)
^{Card Number:} ^{Exp Date:}

^{Name on Credit Card:}

^{Signature Authorization:} _____________________________________________________

YOU MUST PRINT THIS FORM!

DOWNLOAD BROCHURE FOR PAYMENT AMOUNTS

   Fall 2008-09 Fees


Make your check made payable to:
Admirals Hockey Club

Complete and print this form and mail to:

Admirals Hockey Club
1N450 Highland Ave
Glen Ellyn, IL 60137

or fax it to 630-790-9695

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