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Name ______________________________________________________________
Address ____________________________________________________________
Email _______________________________Phone___________________________
Your Selection: ___ Medallion ___Tag Trophy ___A ___B ___C ___D ___E
Team ____________________________________________________________
Season ____________________________________________________________
Name ________________________________________________________________
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FREE Coach Plaque _______________________________________________________
Additional Coach plaques $9.00 each_________________________________________
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To receive gender correct items, please indicate players name as Male or Female.
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