Tournament & Jamboree Registration Payment Request (West Lorne Comets)

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Print Tournament & Jamboree Registration Payment Request

Complete and Submit to request a West Lorne Minor Hockey cheque or e-transfer for entry into a tournament and/or jamboree.

Team Requesting Registration Fee^*
Contact Person: Name^*
Contact Person: Phone #^*

Example: 123-456-7890
Contact Person: Email^*

Example: [email protected] Your submission will be sent to this address.
Date(s) of Tournament/Jamboree^*
Amount: $^*
Payment Type Requested^*
ChequeE-transfer
Check all available options of payment
Payable To:^*

Include name of hockey association and/or e-transfer email & details.
I acknowledge that the tournament advance may not be processed if this information is not provided a minimum of six weeks before the tournament.

I acknowledge that any funds advanced, by WLMHA, to my team, must be repaid within two weeks of the end of the tournament.

I agree to the terms and conditions stated above^*

Human Validation

Check The Box ^*