Hector

|Cayenne Entertainment Technology Co.,Ltd. Service Fax Form |
|I authorize CayenneEntertainment Technology Co.,Ltd to validate my personal information. Herein provide a soft copy of my identification |
|document and other information as proof. All documents provided are authenticand belong to me, if any part is found to be false or belonging to another|
|person this form will be invalidated, and I will be held accountable for all legal responsibility.|
|(Y) (M) (D) Signature: ||Personal |Name: | |Game Title: | |
|Information | || | |
| |ID Number: | |Game Account:| |
| |Email: | |Avatar Name: ||
| |Phone: |Day:( ) Night:( ) Mobile: |
||Address: | |
|Category of Issue|□ Account / Password Recovery□ Abnormal Point Deductions |
| |□ Unlock Account □ Full Membership Authorization...