Pugilance Application

Please choose a Membership. If you will be playing Pugilance, choose Front Lancer Basic. If your child (or other minor charge) is playing Pugilance and you need access to the site but will not be playing yourself, please choose Sponsor. Once your membership is created, you may upgrade to a paid membership at any time. For more information, please see the Membership Catalog.
Membership Type:

First Name:
Middle Name
Last Name:

Password:
Confirm Password:

Gender:
Birthdate:	(MM/DD/YYYY)

Address:
City
State
Zip:

Phone:	(ex: 555-555-5555)
Email:

Color Designation:	What is this?
	Please Note: If you choose undecided, we will not be able to send you your member ID card until you have chosen a Color Designation.

Yes No	I wish to be included in the Pugilance Member Directory. Pugilance Member Directory is viewable by members only. A yes designation will display your first name, rank, City and email address when another member searches for Lancers in your area. No other data will be given out and you will not show up at all if you choose not to be included.

	Jan - 2009
today

The Warrior Mind

Do not seek to die for your convictions. Seek to live for them.

Friends of Pugilance

A-kon

See more links

Site designed by Nullus Anxietas Media.