First Name:  Last :
Nick Name:  Age:
Email Address:

Address: Street:
                           
                     City:
                   State: Your State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Other   Zip:

What games do you play?
1:  2:  3:

Are you part of a clan?  yes  what one  No

Have you been to a Lan Party before?   yes    No

Choose your seat:. Choice: 1: 2: 3:

What kind of computer do you have?
Brand:     CPU Speed: Mhz
Amount of Memory: MB    HD Size: GB

Are you registering as a group for a discount? yes  no
If yes we need the names listed to give you the discount.
1:  2:
3:  4:
5:  6:

How do you plan on paying?
PayPal    Check   Money Order   At the door

If you want to use a credit card and have a PayPal account (or want to obtain one) click this link. Our Email is:
                            LanBattle@comcast.net
If you want to pay by check or money order send them to :
LanBattle
5042 Pike Creek Blvd.
Indianapolis, Indiana 46254

NOTICE: No personal checks will be accepted 10 days
                 before the battle or at the door.

If paying at the door the forms of payment are only cash or money order.

  I Have read the General Rules and understand them.
  I have read the Tournament Rules and understand them.