HCOMI Goalie Signup
First Name (*)
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Last Name (*)
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Street Address (*)
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City
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State (*)
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Zip (*)
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Date of Birth (*)
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Home Phone (*)
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Work Phone (*)
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Mobile Phone
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Main Email (*)
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Secondary Email
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Company Web Address
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Does Your Mobile Phone Accept Text Messages? (*)

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How did you first hear of Hockey Company of Michigan




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Do you know anyone who would like to join our league? Please give us their names and email
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09/10 USA HOCKEY REGISTRATION NUMBER (*)
www.USAHockeyRegistration.com
If Yes, What Percentage




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Would you be willing to play mulitple games? (*)

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