JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Hockey Puck Order Form
Be a part of decorating the rink's newest addition, Top Shelf, and help raise funds for mezzanine and rink improvements! Please email Lesley Steffin at lesley.steffin@gmail.com with any questions.
Each puck will cost $250 (with the exception of the Design Your Own Puck for $1,000). You will need to pay through this link after placing your order:
Rink 2 Expansion Project & Fundraising (veronaice.com)
Click on "Donate Now" and choose the $250 option.
* Indicates required question
Email
*
Record my email address with my response
Name
*
Your answer
Email
*
Your answer
Phone Number
*
Your answer
Puck Choice - Only Select One.
If you would like to order additional pucks, please fill out the form again.
*
Verona Wildcat - $250
Metro Lynx Hockey - $250
Southwest Eagles - $250
Edgewood Crusaders - $250
Madison Mavericks - $250
Verona Paw - $250
"Ice For Kids of All Ages" - $250
Design Your Own Puck - $1,000
Graduation Year Puck - $250
Name or phrase you would like included on your puck: (up to 38 characters - including spaces) - *For Graduation Year Puck, please note graduation year.
*
Your answer
Please initial below to indicate that you understand you need to pay for your pucks through this link:
Rink 2 Expansion Project & Fundraising (veronaice.com)
Click "Donate Now" and choose the $250 option. If you are choosing Design Your Own Puck, please contact Lesley Steffin at lesley.steffin@gmail.com for payment options.
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
