Follow these 5 steps to become a D-MAX member.
Important! If you are under 13, one of your parents will need to sign this form.
If your parent does not sign the form, we won’t be able to enroll you in D-MAX.
1) Read this. By filling out this form you are enrolling in the D-MAX program. This will
make you eligible for promotional mailings, email updates, contests, and other
2) Give us your contact information.
First Name _____________________________Last Name _____________________________________
Address _____________________________________________________ Birth date _______________
City ____________________________________State/Province ________________________________
Country* (check one): ❏ U.S.A. ❏ Canada ZIP/Postal Code _________________________ Membership
Phone _______________________________________Email ____________________________________
* Offer only valid in the U.S. and Canada.
For other countries, go online at www.duelmasters.com and download your local application form.
3) Get your parents to sign this form after reading the “Parents” information if you
are under 13.
Parent/Guardian’s Printed Name _____________________________________________________ ΩA personal D-MAX membership card
Parent/Guardian’s Signature _________________________________________________________ Ω Exclusive access on the Duel Masters web site
4) Cut out the barcode from a Duel Masters product. ΩFree Duel Masters updates
5) Put this form and the barcode into a stamped envelope and send it to:
Wizards of the Coast
P.O. Box 1080
Act NOW and receive even more
Limit one D-MAX membership per person. “Free stuff” offer only available while supplies last. Allow 6-8 weeks for delivery.
Renton WA 98057
Your child would like to register for the D-MAX program from Wizards of the Coast. When you send in
this form, he will be sent a membership kit including fun printed materials related to Duel Masters and a membership
card. From time to time he may also be sent other physical mailings and emails. In addition, he will gain access to a
special area of the Duel Masters web site.
While supplies last, we’ll send you
While visiting the Duel Masters web site, your child may change his contact information and participate in online
surveys. Before we can allow your child’s personal and demographic information to be viewed and modified online, a package of great Duel Masters loot!
we want to notify you about our online information collection practices and obtain your permission. We ask you first
read through the “Note to Parents” in the Wizards Website Privacy Statement (http://www.wizards.com/parents),
which identifies the personal information that Wizards of the Coast collects from children online and the way we
handle such information. If you cannot connect to our web site, our customer service team can provide you with the Go online for more details at
information and answer any other questions (800-424-6496).
When you have finished and wish to provide your consent, please sign this registration form where it says “Parent/
Please note that once you have signed and sent us this form, you always have the ability to: (i.) review your child’s
personal information collected online; (ii.) request that we delete your child’s personal information online; (iii.)
stop us from further using or collecting additional personal information online about your child without gaining new
permission from you. To do so, please contact us using the information provided above.
WIZARDS OF THE COAST and Magic: The Gathering are registered trademarks of Wizards of the “Free stuff ” only available while supplies last. Allow 6-8 weeks for delivery.
Coast, Inc. Duel Masters is a trademark of Wizards/Shogakukan/Mitsui-Kids. Most product D-MAX membership offer expires 04/01/05. This D-MAX offer is only valid in the U.S and Canada.
names are trademarks owned by the companies that publish those products. DMBAUS For other countries, go online at www.duelmasters.com and download your local application form.
Thanks for purchasing Duel Masters! Please take a few moments 5. Is this your first Duel Masters product purchase?
and tell us what you think about Duel Masters. Your feedback is not required ❏ No
for your membership but it helps us to continue to provide you the best
6. How long ago did you purchase your first Duel Masters product?
Duel Masters games possible.
❏ Less than 1 month
1. What do you like best about Duel Masters? (check only one) ❏ Between 1 and 3 months
❏ Cool looking creatures ❏ Between 3 and 6 months
❏ Powerful game creatures ❏ Between 6 months and 1 year
❏ Shobu & his friends
7. Which Duel Masters products do you own and which ones would you be interested
❏ Great game play
(check all that apply) Currently Own Interested in Owning
❏ All my friends play
❏ It’s a great value Trading card game ❏ ❏
❏ Other: _____________ Deck boxes or card binders ❏ ❏
Gameboy Advanced game ❏ ❏
2. From what type of store did you purchase this Duel Masters product? (check only one)
Action figures ❏ ❏
❏ Received as gift
Other toys ❏ ❏
❏ Toy store
Comic books ❏ ❏
❏ Mass merchandiser (such as Target or Wal-Mart)
Other books ❏ ❏
❏ Game/Hobby store
Cartoon videos or DVDs ❏ ❏
PlayStation II game ❏ ❏
❏ Software store
X-Box game ❏ ❏
GameCube game ❏ ❏
❏ Other: _____________
Clothing & apparel ❏ ❏
3. What do you think is the most exciting thing D-MAX, the Duel Masters club, Other: ❏ ❏
has to offer? (check only one)
8. Which card games do you play and/or collect, and which was the first trading card
❏ Access to the exclusive area of the Duel Masters web site
game you ever played?
❏ Free Duel Masters loot
Play Collect First TCG played
❏ Duel Masters updates
(check all that apply) (check only one)
❏ D-MAX member card
❏ Automatic registration in Duel Masters organized play Duel Masters ❏ ❏ ❏
❏ Being connected to other Duel Masters game players and fans Magic: The Gathering ❏ ❏ ❏
Digimon™ ❏ ❏ ❏
4. How did you first hear/learn about Duel Masters? (check only one)
Dragonball Z™ ❏ ❏ ❏
Yu Yu Hakusho™ ❏ ❏ ❏
❏ Magazine/Newspaper article
Pokémon® ❏ ❏ ❏
❏ Comic book
Yu-Gi-Oh!® ❏ ❏ ❏
❏ Television show
Neo Pets ❏ ❏ ❏
❏ Duel Masters event
Sports cards (general) ❏ ❏ ❏
❏ Mall tour
Other: ________________ ❏ ❏ ❏
❏ Wizards of the Coast website
None: ❏ ❏
❏ Magazine/Newspaper advertisement
❏ Website/Online 9. Gender:
❏ Saw in store/store flyer ❏ Male
❏ Other: _____________ ❏ Female