Please note: Although it is most unlikely that you will experience any problems responding to this form, certain non-standard browsers will not respond properly. If you experience any difficulties, (or if you are not using a forms-capable browser) you may email your response to this form to: jdeitch@bellsouth.net.

Thank you for your interest in the Atlanta Pinball League. By filling out the following information, it will greatly help in organizing this new league. If you have any questions or suggestions, please email them to me ASAP at jdeitch@bellsouth.net !

Name:           

Address 1:      

Address 2:      

City:             State:   Zip: 

Phone # (Area code is IMPORTANT) :       

E-mail Address (Required!): 

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