| Name: |
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| Surname: |
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| Street and street adress: |
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| Postal number and post office: |
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Please do not use hotmail.com account because you will not receive our mail
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| e-mail: |
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| MSN adress: |
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| Type of gameserver |
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| Slot number: |
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| Server order period (One payment): |
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| Voice server (VoIP) : |
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| Payment type: |
[?] |
Gameserver information (required!):
Help |
| Public / private:: |
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Server name: |
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| Rcon password: |
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| gameserver password:: |
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| FTP user name: |
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| FTP password: |
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| Voice (VoIP) server name: |
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| Voice server password:: |
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Any comment?: |
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