Wufoo

Registration Form - October

Playstation 2 Winning Eleven 2009 Championship
Championship 4 Qualifying - 4, 10, 18 & 24 Oct 2009
Championship 4 Final - 25 Oct 2009

Name: *

Please insert your name
I/C or Passport: *

Please insert your I/C or passport number
Gamer's Name:

Please insert your gamer's name if any
Clan/Team Name:

Please insert your clan/team name if any
HP Number *

Please insert your handphone number e.g. 0123456789
Email Address: *

Please insert your email address
Please select your qualifying date *
Qualifying 1 = 4 Oct 2009 Qualifying 2 = 10 Oct 2009 Qualifying 3 = 18 Oct 2009 Qualifying 4 = 24 Oct 2009

Please choose your qualifying date
Slot(s): *

Please choose your slot(s)
Terms and Conditions: *
I'm fully aware that the organizer have the right to change the tournament venue, date, time, format, prizes and etc withour prior notice.

Tick at the box if you agreed with the terms and conditions. By doing that, the organizer will not take any responsibility of any losses or/and damage incurred.
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