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Curling Bonspiel Registration

"*" indicates required fields

Registrant Information

* Asterisks Indicate Required Sections

Name of Registrant*

First Last

Company*

Address*

ALERT: Please ensure this address matches your Credit Card Statement address or payment may fail. Note that your credit card may have a corporate address.

Street Address City Postal Code

Office Phone

Cell Phone*

Email*

Team Information

Team Name*

Skip

NOTE: The Skip must be currently employed in the Energy Industry. Non-Petroleum Association members will be required to pay a user fee ($50.00)

Skip's Name*

Skip's Employer*

Skip's Cell #*

Skip is a current active member of GP Petroleum Association?*

Additional fee of $50/person for non-members. We will be verifying membership, so please be honest or your registration will need to be re-submitted properly.

Yes

No

3rd

3rd's Name*

3rd's Employer*

3rd's Cell #*

3rd is a current active memberof GP Petroleum Association?*

Additional fee of $50/person for non-members. We will be verifying membership, so please be honest or your registration will need to be re-submitted properly.

Yes

No

2nd

2nd's Name*

2nd's Employer*

2nd's Cell #*

2nd is a current active member of GP Petroleum Association?*

Additional fee of $50/person for non-members. We will be verifying membership, so please be honest or your registration will need to be re-submitted properly.

Yes

No

Lead

Lead's Name*

Lead's Employer*

Lead's Cell #*

Lead is a current active memberof GP Petroleum Association?*

Additional fee of $50/person for non-members. We will be verifying membership, so please be honest or your registration will need to be re-submitted properly.

Yes

No

Spare

NOTE: The Spare can only sub in for the Lead Position and must be a registered team member.

Spare's Name

Spare's Employer

Spare's Cell #

Spare is a current active member of GP Petroleum Association?

Additional fee of $50/person for non-members. We will be verifying membership, so please be honest or your registration will need to be re-submitted properly.

Yes

No

Registration Fee

Select Event*

Event Payment Discounted

$ 0.00 CAD

Additional Banquet Tickets Quantity

Price: $ 50.00 CAD

Quantity

Donation (optional)*

If you would like to make a donation to GPPA, enter the amount here. We thank you for your continued support!

Other Donation Amount*

Please enter the dollar amount of the donation you would like to make below.

GST

$ 0.00 CAD

Discount Code

Total

Once Submitted and Paid your registration is now pending. You will receive an "Approved Entry" confirmation from GPPA once you are officially registered

Contact Us

Email

info@gpoilmen.com

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Address

PO Box 202
Grande Prairie, AB
Canada T8V 3A5

Upcoming Events

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