Name:  Date of birth:

Email Address*:

* This is for membership conformation only...

Tick if you want emails of upcoming Das Reich Clan events or special news

Country: State:

Sex: - Male Female                                     ICQ #:

All seeing eye # :      MSN :

Can other members view your email address for MSN?  Yes No N/A

Are you a member of another gaming clan? - Yes No

If so which one

Please enter the Clan members gaming name you want:

       1.[2nd-SS]

       2.[2nd-SS]

       3.[2nd-SS]

Why do you want to join this clan?

How did you find about this site?

Were you Recruited or sponsored by a member : Recruited Sponsored Neither, require trial

Name of member who recruited or sponsoring you [2nd-SS]

If you were not recruited or sponsored, please tell us the best day and time for you to have an online game trial with a clan member present :

Please list the games you play on the net :

Call of Duty Fav gun & level : 

Call of Duty- United Offensive Fav gun & level :

Counterstrike Fav gun & level :

Counterstrike SOURCE Fav gun & level :

Please give the names and email address of friends that might want to join:

*They will only receive information for joining the Das Reich Clan….

Name:     Email:    

Name:     Email:   

Name:     Email:   

Upload your personal photo or banner, this is for the Awards page ONLY*:                

*This is used on  the Das Reich Home Page when medals, awards and special events are won. Please name the file that as your above name.....

 Upload here :

**Please note  banners should be kept to 610x175, thanks...

-------------------------------------------------------------------------------------------------------------------------

Official Use Only

Membership #                                            Membership Name:

Aplication Accepted/Rejected:

Aditional Comments: