Membership Application

If you would like to become a member Clan Outcast take the time to complete the application below. Complete every part of the application as incomplete applications WILL NOT be considered. Any dishonesty regarding the information submitted on this application will be grounds for immediate membership revocation.

Note>> IP Addresses are logged for security purposes.
Full Name  
Game Name  
   
Age  
City  
State/Province  
Country  
   
Messenger Contact ie: yahoo, msn
Referred By:
E-mail  
   

What skills or specializations can you bring to Clan Outcast?

 
   

Why do you want to join Clan Outcast?

 
   

Questions or comments for the Personnel Officer (P.O.)?