Name______________________________________________ Address_____________________________________________ City_______________________ State_____ Zip Code_________ Player's Name_____________________________ Number______ Team______________________
Make checks payable to: Glenview Stars Hockey Association 1851 Landwehr Rd. Glenview, IL. 60026 For any questions, e-mail Al Fushi at:
[email protected] $18.00 each, 2 or more $15.00 each Number of coins ordered___________ = ___________ Postage $2.00 (Coins can be picked up at the rink for no fee) Total___________________