2011 Yu-Gi-Oh! US Qualifier Registration
Please complete this form. When the 2011 Yu-Gi-Oh! US Qualifier Quiz goes live, you will be notified via email. The email you provide will be used to contact you regarding all aspects of the 2011 Yu-Gi-Oh! US Qualifier and 2011 Yu-Gi-Oh! US Championship.
FIELDS WITH AN "
*
" ARE REQUIRED.
First Name
*
:
Last Name*
:
Yu-Gi-Oh! Site Alias
*
:
Nintendo DS Friend Code
*
:
Your Date Of Birth
*
:
(enter as DD/MM/YYYY)
Email Address
*
:
Phone
*
:
Cell Phone:
Select Cell Carrier:
--None--
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AT&T
Nextel
Sprint
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Verizon
Virgin Mobile
Custom Carrier
What Is Your Gender
*
:
--None--
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Address 1
*
:
Address 2:
City
*
:
State
*
:
--None--
AK
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AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
Zip Code
*
:
*
YES, I AGREE that by checking this box, I, (1) accept the Official Rules for the 2010 Yu-Gi-Oh! US Qualifier and the Official Rules for the 2011 Yu-Gi-Oh! US Championship
;
(2), that I agree to all e-mail communication from Konami and tournament administrators pertaining to site updates, my registration, and tournaemnt play; (3), that I give my permission for my Nintendo DS™ Friend Code to be shared with my opponent if I qualify for head-to-head play.
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Konami Digital Entertainment, Inc.
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