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2009 College Basketball Madness Contest Registration

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Fill in and submit the following form to enter the contest. Only one entry per person is allowed. Multiple entries by the same individual will disqualify that participant from receiving any prizes.

All fields are required unless noted

Player Registration

First Name:
Last Name:
Birthdate:
Choose Username:
Choose Password:
Confirm Password:

Contact Information

Email:
Confirm Email:

Please make sure to enter a valid and activeEmail Account. This will be used as the primary method of contact, as well as the only way to obtain a new password in the case that you lose or forget the one you have selected.

Newsletter Subscription:(Optional) Yes! Keep me updated.

Keep this box checked to recieve periodical updates on the contest and special promotions from our sponsors.

Address Line 1:
Address Line 2: (Optional)
City:
State:
Country:
Zip: (Required for USA, AU, and CAN)
Phone Home: (Optional)
Phone Work: (Optional)

Group Play

PLEASE READ THE GROUP PLAY INSTRUCTIONS CAREFULLY
IF YOU INTEND TO CREATE OR JOIN A GROUP

Click Here to read the Full Group Play Instructions

Things to remember about Group Play:

  • Group Play is completely optional
  • When creating a new Group, make sure the name of the group is unique.
  • When joining an existing Group, make sure you have the correct Group Name.
  • Group Names are Case-Sensitive, can use ether letters or numbers and can't contain spaces or special characters (!, @, #, $, %, ^, etc).
  • You can enter or change your Group in your Contest Account.
  • There is no limit on the amount of members in a Group.
  • You can only be part of one Group at a time.
Group Play Word: (Optional)

Our Sponsors' Membership Has Its Advantages

This field is for Jazz Casino & Sportsbook and ABCIslands customers only. Enter your Jazz or ABC account code below to be eligible for Special Prizes by our sponsor.

Sportsbook code: (Optional)

Submit the Form

Please enter the number you see in the image to the right in the field below it. Authentication Code
Authentication Code:


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