Sorry for the lame app but we got better things to do.




- Personal Info -

Real Full Name :
Handle         :
Phone Number   :
State          :

- Other Shit -

3 Best boards you have an account:
(1)                            Area Code:              
(2)                            Area Code:
(3)                            Area Code:

3 Vouchers
(1)
(2)
(3)

Ansi/Vga/Lit/Mods/Demos/Game Reviews, which one or two are you appyling for :
(1)
(2)

How Long have you been doing whatever your applying for :

Do you have a board :                                   
Name:
Number:
NUP:

                   -Comments to the staff of Surge-





                               --------

     Return the app to Realms of Hell and Logon as Surge and pwd Surge
   Please Upload the app in ZIP format with a ansi/vga/lit/mod whatever
     Also please rename the zip file to your handle initials and what
      you are applying for to get quicker responce.  Thanks  -Surge-