In-Game handle * Your Player Nickname (i.e. Trogdor)

Your Age * Must be 18 years or older to apply.

e-Mail Your e-Mail Address

Time Zone EST, PST, CST, GMT, etc.. Eastern (EST) Pacific (PST) Central/Mountain (CST/M) GMT (ZULU)

State/Region * Your State, Region or Province (i.e. Seattle, Canada, etc.)

Jack-Point What is your connection type?CABLE/T1DSL/ADSLIDSNDial-Up (n00b)

Availability How often are you online? 20-40+ hours/week 11-20 hours/week 1-10 hours/week

Preferred Combat Role What role do you prefer to play?OffenseDefenseMid-Field OffenseCommander

Previous Clans Have you played for any other clans before? If so, please list the last 2

Referral How were you referred to =[B|C]= ?

Games Played What Games Do You Play? COD: Modern Warfare 2* [PC] Front Lines [PC] COD:4 [Xbox] Crysis [PC & Xbox] Tribes: 2 [PC] Shadowrun [PC] Half Life: 2 TDM [PC] Team Fortress: 2* [PC] ijji: Gunz / Drift City [PC] Battlefield 2 / 2142 [PC]

*To qualify for Active Duty you MUST play at least 1 Featured Game.

Special Skills:Why should =[B|C]= consider you?

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