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Mission Teams
BOYS TEAMS
Boys 10U (10’s)
Boys 11U (09’s)
Boys 12U (08’s)
Boys 13U (07’s)
Boys 14U (06’s)
Boys 15’s (05’s)
Boys 16U
Boys 18U
GIRLS TEAMS
Girls 12U
Girls 14U
Girls 16U
Girls 19U
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Raffle Ticket Payment
Chicago Mission
Raffle Ticket
.
Raffle Ticket
Payment
Chicago Mission Team
*
Boys 2010 (Hmura)
Boys 2009 (Hmura)
Boys 2008 (Cavallini-Eagle)
Boys 2007 (Bicek)
Boys 2006 (Tam)
Boys Midget 15s (Perreault)
Boys Midget 16U (Cavallini)
Boys Midget 18U (DeSalvo)
Girls 12U (Coleman)
Girls 14U (Porcaro)
Girls 16U (O'Connor)
Girls 19U (Rourke-Smith)
Player
*
First
Last
Raffle Tickets
50 Raffle Tickets at $10/ea ($500 TOTAL)
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This is your payment for unsold tickets.
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0
to
500
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Payment Type
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Credit Card
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This is the total amount due for unsold tickets.
Price:
$0.00
Credit Card Processing
All payments defined above will be done with your Credit Card information provided here. Any declined transactions will result in a $30 fee.
All Credit Card information will be kept confidential.
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Month
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Year
2021
2022
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2040
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I herby authorize the Chicago Mission Hockey Club to charge my Credit Card or Bank Account on the dates defined above.
Signature
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Authorization Name
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Email Address
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For Receipt
Date
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Date Format: MM slash DD slash YYYY
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