All information is confidential and only used in review for potential membership.
_1. What is your character name as you would like it to appear? _2. What is the URL of you character's homepage? _3. E-mail address? _4. What time/s are you usually on-line? Choose a time zone 0 (Dublin, Edinburgh, Lisbon, London) 0 Monrovia, Casablanca +1 Amsterdam, Berlin, Rome, Paris, Madrid +2 Athens, Helsinki, Istanbul, Cairo, E. Europe +3 Baghdad, Kuwait, Nairobi, Moscow +3.3 Tehran +4 Abu Dhabi, Kazan, Muscat +4.3 Kabul +5 Islamabad, Karachi, Tashkent +5.5 Bombay, Calcutta, New Delhi +6 Almaty, Dhaka +7 Bangkok, Jakarta, Hanoi +8 Beijing, Hong Kong, Singapore, Taipei +9 Tokyo, Osaka, Sapporto, Seoul, Yakutsk +9.3 Adelaide, Darwin +10 Brisbane, Melbourne, Sydney, Guam +11 Magadan, Soloman Is., New Caledonia +12 Fiji, Kamchatka, Marshall Is., Wellington -1 Azores, Cape Verde Is. -2 Mid-Atlantic -3 Brasilia, Buenos Aires, Georgetown -3.3 Newfoundland -4 Atlantic Time (Canada), Caracas, La Paz -5 Eastern Time (US & Canada), Indiana (East) -6 Central Time (US & Canada), Mexico city -7 Arizona, Mountain Time (US & Canada) -8 Pacific Time (US & Canada), Tijuana -9 Alaska -10 Hawaii -11 Midway Island, Samoa -12 Eniwetok, Kwajalein What is your time zone? _6. Where are you from? Region (State/Province)/Country. _7. How old are you? ___ -Age?- 12 years and under 13 years 14 years 15 years 16 years 17 years 18 years 19 years 20 years 21 years 22 years 23 years 24 years 25 years 26 years 27 years 28 years 29 years Old as dirt (just kidding) 30 years and older _8. Male__ Female _9. Which multiplayer games do you play on the internet? ____Jedi Knight (Dark Forces II) __Mysteries of the Sith __Jedi Outcast (Jedi Knight II) __Jedi Academy (Jedi Knight III) __X-Wing Alliance __Star Wars Galaxies ___Please list any other multiplayer games you play: ___-other multiplayers- 10. -approx i-net experience- 0-1 Month 2 Months 3 Months 4 Months 5 Months 6 Months - 1 Year 2 Years 3 Years 4 Years or more How long have you been playing multiplayers on the internet? 11. (Trick question) Which side of the force do you now tend towards? _____Light Side _____Dark Side 12. Who Recruited/Referred you to ICJ? 13. How did you find out about ICJ? ____Met a member on the Zone __Allied Clan __Banner Exchange __Search Engine ____Link Surfing __Other ____________________How did you find out about ICJ? 14.-Past Clans?- What Star Wars Groups/Clans have you been a member of? ___-Why left?-Why did you leave? ___Are you currently a member of any clans? ___Yes ___No
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ICJ. Copyright © 2004 Inner Circle of Jedi. All rights reserved. Revised:08/01/04