The Root Underground | TRU Clan | §0_u63R

Recruiter
Team
Gender
Gamer Name		(without clan tags)

First Name
Middle Initial		(optional)
Last Name
Date of Birth
City / Town
State / Province
ZIP / Postal Code		(optional)
Country

Internet Connection
Favorite Map Type
Favorite Quote		(optional)

E-mail Contact Information
E-mail Address
Alternate E-mail

Instant Messenger Contact Information
AOL Instant Messenger (AIM / AOL)
Battle.net		(optional)
Google Talk / Gmail		(optional)
ICQ Instant Messenger		(optional)
Skype		(optional)
Windows Live Messenger (WLM)		(optional)
Xfire		(optional)
Yahoo Messenger (YM, YIM)		(optional)

Games You Play
Referred by How did you first hear about us?
Qualifications Why should you be accepted? How can you help & benefit us?
Comments, Questions, and Suggestions... (optional)
Do you own a working microphone?
TeamSpeak Experience/Knowledge
Ventrilo Experience/Knowledge
IRC Experience/Knowledge

Anti-Fraud Data Logging
Your IP Address
Your Host Name
Your User-Agent
HTTP Referrer
Request URI
Application Time Stamp