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Alliance Recognition Form

I would like to register our alliance in Quest Game:
Alliance Name (max. 16 characters including spaces):
Alliance Head (your name):
Party Number of Alliance Head:
KJC Account Number:
Email Address:
Please give the party numbers of at least four other parties who are to be in your alliance:
1 2
3 4
5 6
7 8
City number where alliance HQ is to be (1-20):
Unused Shop Number:
Religious alliance (Y)es or (N)o?: