**NEW Arena Level 1 & Ice Maintenance Combined Course
Online Registration Form
Facility/Organization Name
*
Facility Name
Short name
Name of Facility/Organization Contact
*
First Name
Last Name
Phone Number and Email of Contact
*
Phone Number
email address
Facility Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How many participants are you registering?
*
Please Select
1
2
3
Please enter names and contact information of each participant below.
Participants #1 Name
*
First Name
Last Name
Participants #1 Phone and Email
*
Phone Number
Email address
Participants #1 Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Participants #2 Name
First Name
Last Name
Participants #2 Phone and Email
Phone Number
Email address
Participants #2 Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Participants #3 Name
First Name
Last Name
Participants #3 Phone and Email
Phone Number
Email address
Participants #3 Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is this your first time attending?
*
Please Select
Yes
No
Other
If other, please specify
How did you hear about the NEW Arena Level 1 & Ice Maintenance Combined Course?
*
Are you a MEMBER of RFANS:
*
Please Select
Member
Non-Member
Would you like to become a MEMBER of RFANS:
*
Please Select
Please contact me
Do not contact me
Date
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-
Day
Year
Date
Method of Payment
*
MasterCard
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American Express
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Arena Level 1 & Ice Maintenance Member Fee
$
750.00
CAD
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
CAD
Arena Level 1 & Ice Maintenance Non-Member Fee
$
850.00
CAD
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
CAD
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