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All
Moms Sign
Up Form
Please
fill out the form below to enter the All Moms
Deadline:
June 26th, 2006
.
Tournament Site: Amherst Pepsi Center
Tournament Date:
July 4th - 12th, 2008
Team
Name: ___________________________ Contact Person:
_____________________________
Contact
E-Mail:
___________________________ Contact Phone Number:
_____________________________
Players
Name:___________________________________________________________ Position:
_____________
Players
Name:___________________________________________________________ Position:
_____________
Players
Name:___________________________________________________________ Position:
_____________
Players
Name:___________________________________________________________ Position:
_____________
Players
Name:___________________________________________________________ Position:
_____________
Players
Name:___________________________________________________________ Position:
_____________
Players
Name:___________________________________________________________ Position:
_____________
Players
Name:___________________________________________________________ Position:
_____________
Players
Name:___________________________________________________________ Position:
_____________
Players
Name:___________________________________________________________ Position:
_____________
Players
Name:___________________________________________________________ Position:
_____________
Players
Name:___________________________________________________________ Position:
_____________
Players
Name:___________________________________________________________ Position:
_____________
Players
Name:___________________________________________________________ Position:
_____________
Goalie
Name:___________________________________________________________ Position:
_____________
Deadline:
June 25th, 2008
Entry
Fee: $50.00
Fax Entry
Form to: 314-487-9554
Mail entry
form and payment to:
TORHS
America
11133 Lindbergh Business Ct.
St. Louis, MO 63123
If entering by fax,
please call to confirm that your fax has been received
Credit Card Payment fill in this section below:
VISA
_____ MC _____ AMEX _____Card #
_________________________________ Exp. Date: _________________
Signature:
_______________________________________________
Print
Name: _____________________________________________
Billing
Address:
__________________________________________
City
and State:
_______________________ Zip: _______________
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