Registration Form for the

Seven Card Stud International Poker Club

(S C S I P C)

In order to set you up on my System, would you please fill out this Form.

When I receive it, if everything is complete, I will send you a confirmation notice that
I'm processing your Registration request.

After I have created a copy of the Client Program and Documentation for your use,
I will send you the procedure to use for doing a File Transfer (FTP) from my System
to yours. 

After you access the System the first time, I will send you a note of Introduction and
Recognition that you are now a member of the Club.

One month after you first accesss the System, if I haven't heard from you before, I will
send you a Note asking how you like the System.

Your Name

   First           

   Last            


Your Address

   City            

   State/Province  

   Country         
   (if not the U.S.)


Your E-Mail Address

   


Your Players Name

   
               This is a Maximum of nine(9) Characters.
               It can be a combination of Upper and Lower case Alphabetic, Numeric
                  and the Underscore (_).
               As this is the name that you will be known by on the System when playing
               the Game, you should choose a name that you can identify with and enjoy
               being known as.


Your Operating System (Please choose one)

 Linux/Unix (Default)
 Windows