2007-08 Anaheim ICE

Fax Registration form.

Please Print and complete the below form and fax to 714-518-3220

Circle appropriate

Division

Level

2007 Early Bird
August 31-September 3, 2007
$1100.00

2007 Fall Festival
November 21-25, 2007
$1000.00

2007 Winter Classic
December 26-31, 2007
$1100.00

2008 Spring On ICE
March 20-23, 2008
$1100.00

2008 Shoot Out At The ICE
May 22-26, 2007
$1100.00

Mite

Squirt
PeeWee

Bantam

Midget (16U+18U)

A
B
AA
Open

E-Mail your team roster including jersey numbers to CPalomarez@AnaheimICE.com. Please check spelling carefully. These rosters will be used for program book and participation gifts.

Team Name:_________________________________________________

Contact Person:_______________________________________________

Address:_____________________________________________________

City:____________________________ State: ____________Zip:________

Phone (H):_____________ Phone (W):_______________ Fax:___________

Email:______________________________

Team Record:__________________

PAYMENT INFORMATION

Check Appropriate

CHECK	CREDIT CARD
VISA/ MASTERCARD	AMEX

CARD# ____________________________________

Signature___________________________ EXP DATE ______________

Return payment and application to:
Anaheim ICE, Attn Acct Dept,
300 W. Lincoln Ave
Anaheim, CA 92805