Exit this Survey
Thank you for your interest in attending the COLD-FX Hockey Moms VIP Luncheon being held at noon in Ottawa on Wednesday, September 22, 2010! The luncheon is INVITATION ONLY, so please complete the information below for your chance to attend. Space is limited, so fill out the information now!

Question Title

* 1. Please tell us your name:

Question Title

* 2. What is your email address? Normally, we would not EVER share your email address with a third party, but if you are selected to attend the luncheon, COLD-FX will use your email to send you a personalized invitation.

Question Title

* 3. If you are chosen to attend, you will also be able to bring ONE hockey playing child to the event. Please enter your child's name below.

Question Title

* 4. In what association will your child be playing hockey for the 2010/2011 season?

T