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Ingress Montréal Enlightened
Formulaire d'application / Application Form
* Indicates required question
Nom réel / Real name
*
Votre nom dans la vie / Your in-life name
Your answer
Montréal Enlightened
Nom d'agent / Agent name
*
Votre nom dans le jeu / Your in-game name
Your answer
Niveau / Level
*
Maintenez à jour lorsque vous atteignez un nouveau niveau / Update it as you reach a new level
Your answer
Courriel / E-Mail
*
Pour vous contacter directement / To contact you directly
Your answer
Profil Google+ / Google+ profile
ex:
https://plus.google.com/+Ingress/posts
Your answer
Région de jeu principale / Primary play area
*
Code postal partiel ou complet / Partial or complete postal code (ex: A1B, A1B 2C3)
Your answer
Région de jeu secondaire / Secondary play area
Code postal partiel ou complet / Partial or complete postal code (ex: A1B, A1B 2C3)
Your answer
Où avez-vous entendu parler de Ingress? / How did you hear about Ingress?
*
Suggestion: Inclure un hyperlien ou un nom d'agent / Include website link or agent name
Your answer
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