Company Name:______________________________________________________________
Team Name:_________________________________________________________________ Team Captain Information Alternative Captain Information Name: ______________________________ ____________________________________ Address: ___________________________ ____________________________________ City: ______________________________ ____________________________________ Postal Code: _______________________ ____________________________________ Work Phone: ________________________ ____________________________________ Home Phone: ________________________ ____________________________________ Cellular Phone: ____________________ ____________________________________ Fax / E-mail: ______________________ ____________________________________ Practice Sessions Preferred Dates and Times 1. ________________________ 3. ______________________ 2. ________________________ 4. ______________________ Payment $500.00(Registration) + $40.00(practice) x ___ = $________(Total) Method of Payment: Cheque: ____ Money Order: ____ made payable to The Greater Hamilton Chinese Dragon Race Boat Society (please no post dated cheques)Send Registration To:
The Greater Hamilton Chinese Dragon Boat Race Society 762 Upper James Street, Suite 118 Hamilton, Ontario L9C 3A2 Fax No. (905) 545-4213
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