New Football Club Application

Dear Sir or Madam,

I would like to create my own football club in GKO with the following details.

Club Name :    
My Name : 
Display Name :    
Date of Birth :  / /
Language: 
Country that I live in : 

I would like to use the following information to login to my club’s control panel.

Email :      (To activate account)
Username :    
Password : 

Yes, I'd like to receive e-mails about news and events in the games and entertainment industry. You have my permission to forward my personal information to OCIGRUP, S.L., 52-54 Av. Sarria, 08029 Barcelona (Spain) for this purpose as described in the Data Privacy Policy, for example to send me e-mails about potentially interesting offers.

Yours Faithfully