Mississauga Reps
Mississauga Reps
February 21st, 2018
You can fill out this form on your computer, then print it out for mailing, OR you can print it, then fill it out by hand.
Shanahan International Tournament Application
General Information
Team Name:
Age Group:
My Hockey Ranking:
League Standings Website:
Team Contact:
Home Phone:
Work Phone:
Cell Phone:
Notes or Special Requests:
Do you wish to receive Hotel Accomodation Information?
  Yes     No
Payment Information
Payment to be made by:
Cheque Cost to pay by cheque is: $1995.00 CDN or $1650.00 USD

Please make cheques payable to "THE REPS OF MISSISSAUGA"

Please remit payment to:
     734 Glenleven Court
     Mississauga, Ontario
     Canada, L5H 1B1
*Applications will not be processed until payment is received.