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					          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 and download your local application form.
  3) Get your parents to sign this form after reading the “Parents” information if you
     are under 13.
                                                                                                                                        Member Benefits:
  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
                                                                                                                                                  cool        stuff!
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 (,
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/
Guardian’s Signature.”
   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 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?
                                                                                                                                   ❏ Yes
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
                                                                                                                                   in owning?
   ❏ Collectibility
                                                                                                                                            (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                        ❏                       ❏
   ❏ Bookstore
                                                                                                                                   PlayStation II game                           ❏                       ❏
   ❏ Software store
                                                                                                                                   X-Box game                                    ❏                       ❏
   ❏ Website/Online
                                                                                                                                   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™                          ❏               ❏                   ❏
   ❏ Friend
                                                                                                                                   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

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