ALLIANCE Hockey Officiating Program - Material Order Form (Minor Hockey Alliance of Ontario)

ALLIANCE Hockey Officiating Program - Material Order Form

Please complete order form for any material or cresting orders.

Name:^*

HCR #:^*

Referee Association:^*

Email Address:^*

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

Shipping Address:^*

Please provide the shipping address the material is to be shipped to.

City:^*

Postal Code:^*

Please indicate the quantities required for the materials listed below. All prices include HST. HST#89056 5997 RT

Hockey Canada Rulebook

Indicate Quantity - $10.00/per book

OHF Chest Crest:

Indicate Quantity - $6.00/per crest

OHF Shoulder Crest:

Indicate Quantity - $2.00/per crest

HC Shoulder Crest:

Indicate Quantity - $2.00/per crest

Thank you for completing this form.

I agree with the order numbers stated above.^*