Player Registration Form
Fill The Form Below
First Name:
Middle Name:
Last Name:
Password:
Confirm Password:
Birthday:
Gender:
Smoker:
Hall:


Mailing Address:
Country:
State:
City:
Zip Code:
Email Address:
Cell Phone:
Phone:
Card Pickup Location:
Player Photo:

(JPG/JPEG/GIF/PNG/BMP files only)
(Ideal Photo size is 100*90 and Maximum photo Size is 20 MB)

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