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Alumni Hockey Game

Alumni

Name
First
Last Name
Phone
Address
Street Address
City
State
Zip
Graduation Year
Position:
Sponsorship:
I / We Would Like To Sponsor
All sponsorships include East Hockey Booster membership for the 2018-2019 school year.
Name of Sponsor as you would like it to appear in the program:
Player Registration:
Includes hockey game at Patterson Ice Arena, t-shirt, post game refreshments and entry into the EGR vs. FHC varsity hockey game at 7:00pm.
Player Name(s) as you would like it/them to appear in the program.
Credit Card Information
Visa MasterCard American Express Discover

Visa®, Mastercard® & Discover® cardholders
Your security code is the 3-digit code at the end of the signature field on your card's back.

American Express® cardholders
Your security code is the 4-digit code located above the actual credit card number on your card's front.

You must complete the online payment to be registered for the game unless other arrangements are made with Maria Allen at mallen@egrps.org.

Your total payment will be
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