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REGISTRATION


ROSTERS

 

ROSTER - 26 MAY 07

ROSTER - 21 JULY 07

ROSTER - 01 SEPTEMBER 07

 

 

REGISTRATION FORM


Please complete ALL fields!  Click on "Submit" when ready to send.  Once you submit this form, you will be taken to a page to explain payment options and allow you to pay online if you have chosen that method.  If you have previously submitted the registration form - skip to the payment information page.

 

YOU MUST MAKE PAYMENT TO BE CONSIDERED REGISTERED!!

Full Name:

 
Age:
 
 
Email Address:

 
Phone (with area code):

 
Street Address:
 
 
City: 
 
 
State:
 
 
Zip:

Event Date


Rental Equipment Need


Payment Type

Payment Date (when we should expect to receive payment)


Non-scenario Affiliation (team/individual you wish to be associated with) 


Scenario Affiliation Preference


Squad Preference

 
Leadership Preference (You must be at least 18 to assume a leadership role.)

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        2007 EAG Combat Simulations. Contact us for more information on EAG Combat Simulations.