Ontario Festival, 3 Concorde Gate, Suite 306, , ON M3C 3N7 Tel: (416) 426-7068 Fax: (416) 426-7382 Tel: (905) 364-5315 Toll Free Tel: 1 (888) 973-4322 Fax: (905) 364-5316 Website: www.ontariolacrossefestival.com E-mail: [email protected] Website: www.visionsnmore.com ORDER FORM > □ INDIVIDUAL □ TEAM

INDIVIDUAL ORDER TEAM ORDER

Name : TEAM Name:

Contact #: Contact #: Total Number of Caps: [ ]

Please choose one and check mark in the box below: Please check mark your Team name in the box below:

□ NUMBER $7.50 (Option 1) □ Akwesasne Storm □ Mississauga Tomahawks □ Arthur Aces □ Fill in the number to be embroidered □ Barrie Bombers □ Newmarket Redbirds ______□ Brampton Excelsiors □ New Tecumseth Renegades □ TEAM OR INDIVIDUAL NAME $10 (Option 2) □ Brantford Warriors □ Niagara-on-the-Lake Warriors □ Brockville Blast □ North Perth Outlaws Check one from under the TEAM list =====> □ □ Northumberland Nemesis or fill in the name you want embroidered here: □ Caledon Bandits □ □ Cambridge Chiefs □ Orangeville Northmen ______□ Centre Wellington □ □ TEAM NAME & NUMBER $15 (Option 3) □ Clarington Gaels □ Oshawa Knights □ □ Owen Sound North Stars Check one from under the TEAM list =====> □ Fort Erie Hawks □ Peterborough Lakers or fill in the name you want embroidered here: □ □ Sarnia Pacers □ □ Shelburne Veterans ______□ □ Simcoe Timberwolves □ TEAM NAME + PLAYER NAME + NUMBER $20 (Option 4) □ □ Six Nations Warriors □ □ Soo Spartans Check one from under the TEAM list =====> □ Huronia Braves □ St. Catharines Athletics or fill in the name you want embroidered here: □ Innisfil Wolfpack □ Stayner Hitmen □ Kahnawake Mohawks □ Sudbury Rockhounds ______□ Kawartha Lakes Fury □ Sun County Crows FREE CAP FOR COACH OR MANAGER FOR PRE-ORDERS ONLY □ Kingston Krossfire □ Thunder Bay Ice ______□ KW Braves □ PRE-ORDER SPECIALS □ Lincoln Crush □ Toronto Stars □ □ Tri Town Rock Devils MULTIPLE TEAMS FROM SAME □ Markham Thunder □ Uxbridge Enforcers CLUB - 25% DISCOUNT - MUST □ Midland Braves □ Wallaceburg Griffins PLACE ORDERS BY 30 JUN □ Milton Mavericks □ Welland Raiders □ □ West Durham Rock EARLY BIRD TEAM DISCOUNT - 20% □ Mississauga Tomahawks □ MUST ORDER BY 31 JULY □ Windsor Warlocks

Fill in the numbers to be embroidered for Team Order: ______ON-SITE TEAM DISCOUNT - 5%

Payment: Cash [ ] Debit [ ] VISA [ ] MasterCard [ ]

------

Tear above this line PLEASE BRING THIS SLIP TO COLLECT YOUR ORDER Tear above this line

Name : Contact #: