2023 ALLIANCE Hockey AGM - VOTING Delegate Registration (Minor Hockey Alliance of Ontario)

Print 2023 ALLIANCE Hockey AGM - VOTING Delegate Registration

Please read before completing: Please complete the VOTING Delegate information as per the total number of votes your Association is allotted. VOTING Delegate registration deadline is June 1, 2023. Cancellations June 2-8, 2023 will be provided with a $30/person cancellation refund. NO REFUNDS will be provided after June 8, 2023. Cancellations must be sent by email to: [email protected]

2023 ALLIANCE HOCKEY AGM VOTING DELEGATE REGISTRATION

Delegate fee is $40.00/person & includes breakfast on Saturday, June 17, 2023. Breakfast is open from 7:00am - 8:30am. The Annual General Meeting begins at 8:30am.

Name of Minor Hockey Member Association:^*

Complete in full i.e. Stratford Minor Hockey Association
Name of Person completing this form:^*

First & Last Name
Email:^*

Example: [email protected] Your submission will be sent to this address.

DELEGATE #1

Please complete in full.

Delegate #1 First Name:
Delegate #1 Last Name:
Delegate #1 Title:

i.e. Board Member, Registrar, Treasurer, etc.
Delegate #1 Email

Example: [email protected]
Delegate #1 Phone:

Example: ###-###-####

DELEGATE #2

Please complete in full.

Delegate #2 First Name:
Delegate #2 Last Name:
Delegate #2 Title:
Delegate #2 Email:

Example: [email protected]
Delegate #2 Phone:

Example: ###-###-####

DELEGATE #3

Please complete in full.

Delegate #3 First Name:
Delegate #3 Last Name:
Delegate #3 Title:
Delegate #3 Email:

Example: [email protected]
Delegate #3 Phone:

Example: ###-###-####

DELEGATE #4

Please complete in full.

Delegate #4 First Name:
Delegate #4 Last Name:
Delegate #4 Title:
Delegate #4 Email:

Example: [email protected]
Delegate #4 Phone:

Example: ###-###-####

DELEGATE #5

Please complete in full.

Delegate #5 First Name:
Delegate #5 Last Name:
Delegate #5 Title:
Delegate #5 Email:

Example: [email protected]
Delegate #5 Phone:

Example: ###-###-####

DELEGATE #6

Please complete in full.

Delegate #6 First Name:
Delegate #6 Last Name:
Delegate #6 Title:
Delegate #6 Email:

Example: [email protected]
Delegate #6 Phone:

Example: ###-###-####

DELEGATE #7

Please complete in full.

Delegate #7 First Name:
Delegate #7 Last Name:
Delegate #7 Title:
Delegate #7 Email:

Example: [email protected]
Delegate #7 Phone:

Example: ###-###-####

DELEGATE #8

Please complete in full.

Delegate #8 First Name:
Delegate #8 Last Name:
Delegate #8 Title:
Delegate #8 Email:

Example: [email protected]
Delegate #8 Phone:

Example: ###-###-####

DELEGATE #9

Please complete in full.

Delegate #9 First Name:
Delegate #9 Last Name:
Delegate #9 Title:
Delegate #9 Email:

Example: [email protected]
Delegate #9 Phone:

Example: ###-###-####

DELEGATE #10

Please complete in full.

Delegate #10 First Name:
Delegate #10 Last Name:
Delegate #10 Title:
Delegate #10 Email:

Example: [email protected]
Delegate #10 Phone:

Example: ###-###-####

DELEGATE #11

Please complete in full.

Delegate #11 First Name:
Delegate #11 Last Name:
Delegate #11 Title:
Delegate #11 Email:

Example: [email protected]
Delegate #11 Phone:

Example: ###-###-####

DELEGATE #12

Please complete in full.

Delegate #12 First Name:
Delegate #12 Last Name:
Delegate #12 Title:
Delegate #12 Email:

Example: [email protected]
Delegate #12 Phone:

Example: ###-###-####

VOTING DELEGATE PAYMENT

Please provide payment for Voting Delegates, $40/Delegate. Cancellations June 2-8, 2023 will be provided with a $30/person cancellation refund. NO REFUNDS will be provided after June 8, 2023. Cancellations must be sent by email to: [email protected]

VOTING Delegate Payment

$40.00/Voting Delegate

Thank you for completing and submitting this form.

This information will be used to REGISTER the VOTING Delegate(s).

WHERE: Four Points by Sheraton - 1150 Wellington Rd, London, ON N6E 1M3

WHEN: Saturday June 17th, 2023
7:00am - 8:30am - Breakfast
8:30am - Meeting

VOTING DELEGATE Registration closes on June 1, 2023.

Registration for other AGM activities (Golf, Dinner, etc.) is available by clicking HERE.

CANCELLATION REFUND: Cancellations made June 2-8, 2023 will be provided with $30/person for Voting Delegate registrations.
NO REFUNDS will be provided after June 8, 2023.
Cancellations must be sent by email to: [email protected].

I agree to the terms and conditions stated above^*

Human Validation

Check The Box ^*

2023 ALLIANCE Hockey AGM - VOTING Delegate Registration (Minor Hockey Alliance of Ontario)

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