Basic Information Name: Email: Age: Location: Referred by: Hours available(weekly): Screen Names Absolute: Bodog: FullTilt: PokerStars: UltimateBet:

Messenger Names AIM: Yahoo: MSN: Why do you want to be backed? Additional questions about terms and services?

If you are a winning online poker player looking for longterm backing in multi-table tournaments, please submit an application. By doing so, you agree to have your application shared with our friends and fellow poker players under the Affiliates tab at the top. Please keep in mind that this is a very selective process, and if you do not hear back from anyone within 2 months, you were not accepted. Thank you.

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