Individual fees  
Name:
©2009 Major League Roller Hockey
PO Box 25621
Alexandria, VA 22313

Phone: (703) 535-5996 x 1
EMail: bill@mlrh.com

Address:
State:
City:
Zip:
e-mail:
Daytime telephone:
Evening telephone:
Player,  Coach or Team Manager  Information
Team Name:
Age:
When you have completed the above form, Please click on "submit button" below to forward information to league office.
Also, click on "Buy This" button  to forward payment.
2011-12 PLAYERS ASSOCIATION INSURANCE FEES
Payment Center for MLRH and Roller HockeyTV.net events
PAYMENT CENTER

Note: If you have more Than 12 players on your roster, click on the individual payment button on the right.  You can then pay for the total number of  players when checking out.
2011-12 Individual Season Registration
includes Player Fee, MLRH Player's Assn. Insurance and Team Jersey