AshzFall

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Be Among the First to Play

Beta Tester Application
Please fill out this form as completely as possible. Your application will remain on file for 6 months.

Privacy Information: This form automatically sends the information about which browser you are currently using along with the form information you have supplied. Information you provide in this form will not be used for purposes other than selecting beta testers for games from AshzFall and will not be made available to other companies or individuals outside of AshzFall.

Required fields are indicated with a '*'.

Personal Information:
* First Name

Middle Name or Initial

* Last Name

* Email Address

* Address

* City

* State or Province

* Zip or Postal Code

* Country

* Gender

* Date of Birth (mm/dd/yyyy)
//19

Computer Information:
(Note: Mac users should select other and indicate system information in the space provided.)

* CPU
* Speed (in Mhz)
* Amount of RAM (in MB)
If other, please specify

Please specify the manufacturer and model for the following:
* Sound Card
* Video Card

Do you have the following:
joystick
microphone

Game Genre Interest:
Please indicate a level of interest for beta testing each game category.
0 = no interest
1 = Willing. But, I never play that type and/or don't really like that type
2 = Interested. I play this type frequently and enjoy them, but they aren't my favorites
3 = Enthused. This is the type of game I play

Adventure
Action
Arcade
Casino
Card
Board
Parlor
Strategy
Puzzle
Simulation
Role Playing (RPG)
Trading/Collector Card
Other