Supporter Membership - Scottish Esports

Terms:

£15 / Year

First Name:* First Name Required

Last Name:* Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Username:* Username is Required

Date of Birth:* Date of Birth is Required

Role / Position: Role / Position is not valid

Code of Conduct:* Code of Conduct is Required

Username:* Invalid Username

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

Password Strength Password must be "Medium" or stronger

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Terms: £15 / Year

Description	Amount
Supporter Membership – Initial Payment	£15.00
Total	£15.00

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