Gaming Samurai

Gaming Samurai

Membership Request Form

* = Required Field

Real First Name: *


In Game Name: *


Email: *


Your Age: *

Microphone *

TeamSpeak3 *
Yes

XFire Name (if applicable):


Games Played:
Global Agenda
Section 8: Prejudice
Champions Online
Civ 4
Civ 5
Toribash
StarWars Galaxies (SOE)
SWGEmu
Minecraft
Project Blackout
Parabellum
Counterstrike

Gaming Experience:

Maximum 250 characters includes a-z A-Z 0-9 .,?!&()

Why you would like to join our clan:

Maximum 250 characters includes a-z A-Z 0-9 .,?!&()

Additional Information (computer, programming, design skills; leadership experience; etc):

Maximum 250 characters includes a-z A-Z 0-9 .,?!&()