Ontario Lacrosse Festival, 3 Concorde Gate, Suite 306, Toronto, ON M3C 3N7 3150 Ridgeway Drive, Unit 27, Mississauga, ON L5L 5R5 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 # 1

INDIVIDUAL ORDER TEAM ORDER

Name : TEAM Name:

Contact #: Contact #:

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

□ NUMBER $5 (Option 1) □ Akwesasne Storm □ Milton Mavericks □ Arthur Aces □ Mimico Mountaineers Fill in the number to be embroidered ______□ Barrie Tornado □ Mississauga Tomahawks □ Brampton Excelsiors □ Niagara-on-the-Lake Warriors □ Brantford Posse □ Nepean Knight □ Brockville Blast □ North Perth Outlaws □ TEAM NAME $7 (Option 2) □ Burlington Chiefs □ Oakville Buzz □ Caledon Bandits □ Orangeville Northmen Check one from under the TEAM list =====> □ Cambridge Chiefs □ Orillia Kings or fill in the name you want embroidered here: □ Clarington Gaels □ Owen Sound North Stars ______□ Cornwall Bulldogs □ Peterborough Lakers □ EG/Newmarket Redbirds □ Sarnia Pacers □ Elora Mohawks □ Shelburne Veterans □ Fergus Thistles □ Six Nations Warriors □ TEAM NAME & NUMBER $10 (Option 3) □ Fort Erie Hawks □ Smith Falls Crush □ Gloucester Griffins □ South Glengarry Highlanders Check one from under the TEAM list =====> □ Guelph Regals □ Spartan AC Warriors or fill in the name you want embroidered here: □ Halton Hills Bulldogs □ St. Catharines Athletics ______□ Hamilton Bengals □ Stayner Hitmen □ Huntsville Hawks □ Sudbury Rockhounds Fill in the number to be embroidered ______□ Innisfil Wolfpack □ Toronto Beachers □ Kahnawake Mohawks □ Toronto Stars PRE-ORDER SPECIALS □ Kawartha Lakes Fury □ Tyendinaga Wolf Pack □ Kemptville Rocket 98s □ Uxbridge Enforcers MULTIPLE TEAMS FROM SAME □ Kingston Krossfire □ Wallaceburg Griffins CLUB - 15% DISCOUNT - MUST □ Kitchener Braves □ Welland Raiders PLACE ORDERS BY JUN 15, 2012 □ Lincoln Crush □ West Durham Rock □ London Blue Devils □ Whitby Warriors EARLY BIRD TEAM DISCOUNT - 10% □ Markham Thunder □ Willowdale Sports Club MUST ORDER BY 30 JUNE, 2012 □ Midland Braves □ Windsor Warlocks

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

______

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

------

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

Name : Contact #: # 1