Puck Pursuit Payment Form

Puck Pursuit

Buy your puck to be a part of the new Hall of Fame and celebrate Sidney Crosby’s incredible goal-scoring legacy. PLEASE REFER TO THE AVAILABLE NUMBERS DOCUMENT HERE (AVAILABLE NUMBERS ARE IN YELLOW) — COPY AND PASTE THE FOLLOWING URL: https://docs.google.com/spreadsheets/d/1EmJcjZSQqIyNaR8ASjYDaSbq7KEEvFFVrXn5GwfQyRw/edit?usp=sharing

Pucks (Required)

Price: $ 50.00 CAD

Puck Number(s)(Required)

I do not have a preference for puck number(s) — numbers will be assigned for me

I have preferred numbers (see below)

Preferred Numbers

If you selected that you have preferred numbers, please list them here. Please refer to the available number document that was linked in the email to see which numbers are still available. We cannot guarantee that you will receive preferred numbers, and requested numbers will be allocated on a first-come-first-serve basis. Please only list one number for each puck you are purchasing.

Name(s) to Appear with Puck(s) — One name per puck

If you are purchasing multiple pucks, you can list one name per puck here. Otherwise, the same name will be used for all pucks purchased in this order.

Billing Name(Required)

First Last

Phone(Required)

Email(Required)

The Nova Scotia Sport Hall of Fame may use my email address to send me updates about the organization(Required)

Yes

Additional Notes

If you have second preferences for numbers or any other requests, you can list them here. We will do our best to honour all requests, but cannot guarantee that we can accomodate them all.

Total

Credit Card(Required)

Cardholder Name

Card Details

Puck Pursuit