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Copy and paste this form into word processor, fill in the blanks, save it, then copy and paste into email and forward Thank you.

Please provide the following contact information:

First Name

Last Name

IP Number

Preferred E-mail

LOCATION & TIME ZONE
Please provide the following additional information

OFC Name

LSPN NAME

Sex Male Female

Optional EMail Address
Will you participate in our In House Tournament

Yes No
Have you read and understand the rules of the Club and if you are accepted will you follow them

Yes No

Are you a member of any other Club

Yes No

Who recommended you to the OFC Club Recommended by:.....................................

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Revised: January 24th, 2010