3rd Annual CHICAGO MISSION/CHILL INTERNATIONAL INVITE
November 3-5, 2006
Addison Ice Rink, Seven Bridges Ice Arena, Center Ice of DuPage & Arctic Ice in Orland

 
Entry is limited per division to ensure the highest level of Competition, with teams from Europe, United States and Canada participating in this AAA Event.

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Team Profile Information        ^{We are available to start Thursday night a
     
Team Level:         96    95    94    93    92    U16
Team Name:            
Head Coach:         
Team Contact:      
E-Mail Address:} 

^{Contact Phone#'s    (Check Preferred Phone Number) 
             Home:    Work:}

            ^{Cell:       Fax:}     
Comments:

Payment Information:     

^{Payment Method:} Visa MasterCard Check Cash         ^{Amount Due:}  $1000.00

^{Card Number: Exp Date:} Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2005 2006 2007 2008 2009 2010

^{Name on Credit Card:}

 
Signature:  ____________________________________________________
                                       ^{(Note: a 3% Service Charge will be added for all Credit Card Transactions)}

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$250.00 deposit due by 6/1/06
$750.00 due by 10/1/06

Make your check made payable to:   CHICAGO MISSION

Complete and print this form and mail to:

CHICAGO MISSION-CHILL INVITATIONAL
Kevin Mann
6690 S. Route 53 St.
Woodridge, IL  60517

or fax it to 630-521-1150

For additional information contact Kevin Mann @ 312 543-5118