The Great Canadian Hockey Pooler - NHL Edition 97, Registration Form.

1. User information:

Name:        _____________________________

Address:     _____________________________

City:        _____________________________

State/Prov:  _____________________________

Postal:      _____________

Country      _____________

Phone number: (___)______________

E-mail:      _____________________________

Date (MM/DD/YY): ____/____/____




2. Payment and fees:

Please do not send cash.
Checks, drafts, or money orders must be made payable to:


              "The Great Canadian Hockey Pooler"


__ The Great Canadian Hockey Pooler NHL Edition 97..........$99.00
__ Special Shipping and handling (other than E-mail).........$9.00
                                                           ---------

Total:....................................................$__________



3. Send this form together with payment to:

   The Great Canadian Hockey Pooler
   Attn: Registrations
   141 Berkshire 
   Winnipeg, Manitoba, Canada R2J 2L9


Thankyou for your order.  We hope you enjoy using the product.

