Preserving the Legacy

2010-2011 Charter Membership Application

Becoming a member of the Springfield Hockey Heritage Society is easy! Simply Click here to download the PDF version of the application or print out this form, enter your information and send it along with your check or money order, in the amount of $20 USD per season, made payable to "Springfield Hockey Heritage Society". Send completed applications with payments to:

Springfield Hockey Heritage Society

90 Front Street

West Springfield, MA 01089

Name: ________________________________________________

Address: ______________________________________________

City: _________________________________________________

State/Prov.___________ Zip/Postal Code: ___________________

Telephone: ____________________________________________

Email: ________________________________________________

Please check one below:

I am a:

Fan_______   Player_______     Associated with team___________

Other(please describe):____________________________________