FlyOrDie Moderator Application


FlyOrDie Online Gaming Moderator Application

Real Name:
Email Address:
Gender:	Male Female
Date of Birth:
Please select your location:
Please select your Time Zone:
What Language(s) Do You Speak?	English German Portuguese Italian Spanish French Other:
FlyOrDie Nickname:
Other Nicknames Used on FlyOrDie:
Typical Online Hours:
FlyOrDie Member Since:
Please attach a scanned copy of your birth certificate

What FlyOrDie Games Do You Play?	8Ball 9Ball Snooker Chess Tanx Larkinor

Tell Us About Any Other Gaming or Moderation Experiences:

Have You Ever Been Warned For Conduct on FlyOrDie?	Yes No
Have You Ever Received a Demerit on FlyOrDie?	Yes No
Have You Ever Been Booted From FlyOrDie?	Yes No
Have You Ever Been Banned From FlyOrDie?	Yes No
If You Answered Yes To Any Of The Above Questions, Please Explain:
What Additional Values Do You Feel You Will Bring To The Moderator Team?

FlyOrDie Online Gaming Moderator Application