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2008 DOCS: Qualifier 2 Registration

Posted By: NickFitz | On April 14, 2008 - 4:23pm |

This form will register you for the 2008 Dust-Off® Championship Series 2008: Qualifier 2 that will be held on May 17th-18th, 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.

Personal Information

First Name: *

Please enter your complete first name.

Last Name: *

Please enter your complete last name.

Email Address: *

Please enter a valid e-mail address. This will be used to verify your registration as well as a point of contact.

Address: *

Please enter your complete address. Use the following format: 11111 STREET NAME, CITY, STATE, ZIPCODE. This address must match your state issued ID.

Phone #: *

Please enter a VALID phone number for you. This will only be used to contact you in the event there is an issue with your registration.

Gamer Information

Please use these fields to enter all of your gamer information.

Alias: *

Enter your game name or alias.

Team Name: *

Enter your team's name.

Team IRC Channel: *

Enter your team's IRC channel. This may be used to contact you about the event.

Dust-Off Survey

Please enter the following information completely and honestly. This survey will help support the 2008 Dust-Off Championship Series and all future events.

Do you currently use Dust-Off products?: *

Yes

Please select YES or NO if you are currently using ANY Dust-Off Products including the Dust-Off Keyboard Quiver, Dusters, and Monitor Wipes.

If you do not have a Dust-Off Keyboard Quiver, would you consider purchasing one?: *

YES