QuizNet Registration Form

for Fall 2010

Your name:

School:

School address:

City:

State:

Zip:

Daytime phone:

Home phone:

Email address:

Day: (Your team will be playing in one league, but if you're available for more than one day, please check all that apply and we'll assign you a league.)
We can play QuizNet on Mondays 4:30 Eastern Time
We can play QuizNet on Tuesdays 5:30 Eastern Time
We can play QuizNet on Wednesdays 3:30 Eastern Time
We can play QuizNet on Thursdays 3:30 Eastern Time
Our middle school/junior high team is prepared to play on Tuesday 4:00 Eastern Time
Our middle school/junior high team is prepared to play on Thursdays 5:00 ET


Method of payment:

Check Number__

Purchase Order Number__

Pay by a credit card online. (You DON'T have to have a PayPal account to use PayPal to pay for your credit card order.)