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xbhlregistration

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					        Please complete the attached registration form. Please click on the drop down menu boxes.

First Name                                         Last Name

Address

City                                                              Province                 Ontario

Postal Code

Home Phone #                                                      Cell Phone #

Email                                                             BBM Pin

Age

Registration                                                      Skill Level

Division                                                          Position

How did you find out about the league?

Method of Payment:

Credit Card #:                                                                   Expiry:

Name on Credit Card:

Comments:




                              SAVE AND EMAIL FORM TO INFO@XBHL.COM

				
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