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2008 DOCS: Qualifier 1 Registration

Posted By: NickFitz | On February 14, 2008 - 3:09pm |

This form will register you for the 2008 Dust-Off® Championship Series 2008: Dust-Off Keyboard Qualifier 1 that will be held on March 29th-30th, 2008.

Please fill out the form in its entirety, and use ACCURATE information. Names will be checked against a valid photo ID, and incorrect e-mail or contact information may result in the forfeiture of your registration and payments.

First Name: *

Please enter your first name as it appears on your valid photo ID.

Last Name: *

Please enter your last name as it appears on your photo ID.

Phone Number: *

Please enter the best phone number that you can be reached at. You may bec called to confirm your registration, or if you are late for your scheduled match time.

Email: *

Please enter your valid, active e-mail address. You may be contacted with IMPORTANT updates and information about the tournament.

Address: *

Please enter your complete address. The address will be used to verify your pre-payment, as well as for mailing items if necessary. Example: 11640 Rockville Pike, Rockville, MD 20852.

Team Information

Team Name: *

Enter your team's name. Please make sure that all players enter as close to the same team name as possible.

Alias/Game Name: *

Enter your game name or alias.

IRC Channel : *

Please provide the best IRC channel to contact you. The network must be irc.gamesurge.net.

Player/Captain: *

Player

Captain

Select whether you are a player on this team, or the team captain. Team captains may be contacted for additional team information.

How did your hear about this event?: *

Enter how you heard about this event. Examples: IRC, GotFrag.com, X3O-Gaming.com. Please be as specific as possible.