Team Name:

    Classification

    Description of Team (Include years to be considered – see criteria)

    Achievements

    Group Contact Person


    Name:

    Phone:

    Email:

    Postal Address:

    Submitted by

    Phone

    Email .

    Nominations will be sent via email to Murray Zuk.

    If you have any questions, contact MBHOF office at 204-822-4636

    Nominations can also be sent to Box 158 Souris, MB. R0K 2C0