Cactus Combat Match League

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Registration

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IMPORTANT PLEASE READ THIS BEFORE YOU BEGIN: You are required to enter your real first and last name in the username field. The information you enter in this form will be used by the club as your primary contact information for correspondence. For your Privacy this information WILL NOT be displayed on the web site. You will notice a Employer and job description field on the form below. Many of the members requested that this be included so that we could network better as a club. When one of the members needs a service or advice they can see who in the club may provide what they are looking for. Membership Directory We will finally have membership directory available to registered members only. It will only list your name and a link to email you, it will not display your true email address to protect you from spammers. In addition the directory will show your employer & job description if you choose to enter it. If you have any questions about registration please contact one of the board members. User Name and Password Reminder You User Name and Password will be what you will use when you want to login to the members area of the site so please make sure you write your password down.
Username:
Address Line 1:
Address Line 2:
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Email:
Cell Phone:
Home Phone:
Password:
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Your Member No:
Expires 12/31/:
Employer & Job Description:

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