Executive League Baseball

Online Registration Form

EXECUTIVE BASEBALL LEAGUE

APPLICATION FOR 2010 SEASON

NAME: __________________________

HOME ADDRESS:

________________________________

BUS ADDRESS:

_________________________________

TEL: HOME: _______________________

BUS: ____________________________

CELL: ___________________________

FAX: ____________________________

EMAIL: __________________________

Which position do you prefer to play ? ________________________________

Which other player(s) would you prefer to be teamed with? - no more than 2

1) _________________________________

2) _________________________________

Which other player(s) would you prefer not to be teamed with?

1) _________________________________

2) _________________________________

Do you know of any other players who would be interested in joining our league?
Please write their names and phone #s on the back of this form.

The fee for 2010 is $350. Cheques should be dated March 1, 2010 payable to
EXECUTIVE BASEBALL LEAGUE. Applications received by February 15, 2010 will
receive a $25 discount i.e. the fee is $325.
Mail completed form and cheque(s) to:

Howard Kornblum
5000 Yonge Street Suite 1801
Toronto, Ontario M2N 7E9

Remember that you must be a fully paid-up member of B'nai Brith. Your lodge dues must be
paid before we can place you on a team. If you prefer to belong to our own Executive Lodge,
please attach a cheque in the amount of $75.00 dated March 1, 2008 payable to "B'nai Brith".

PLEASE SUBMIT YOUR APPLICATION ASAP

THIS APPLICATION MUST BE SUBMITTED BY MARCH 15, 2010

* PLEASE NOTE: FOR THE TIME BEING YOU MUST MANUALLY PRINT OUT THIS APPLICATION AND SNAIL MAIL IT.