Application Form

First Name*

Surname*

Username*

E-mail*

Date of Birth*

Country*

City*

Poker experience*:

Tell us a little
about yourself:

Why do you want
to participate in
the beta testing:

Fill in the form and become a beta-tester of the Ultima Poker software.

You will receive the answere to your request in 3-days term via e-mail.

Beta-testing of the Ultima Poker software