Team Name:                                                      

Team Division:  Competitive A or Competitive B

How would you rate your team?                         

Team Captain:                                                

Email Address:                                                

Phone Number:                                               

Street Address:                                                   

City:                                                                   

Province:                        Postal Code:                

 

Make Cheques Payable to PERPETUAL MOTION 

Entry Fee: $300/team CDN (includes G.S.T.)

$300/team US

 

Send Registration to:

PERPETUAL MOTION

223 Waterloo Ave., Guelph, Ontario, N1H 3J4

(519) 222-0095

Bid (Registration) Deadline - September 11th, 2009