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The Pinball Collector Register: New Entry Form

Please fill out as much information as possible. Keep in mind that the Register will not only be on-line, but it will also be published to many people who have no Internet access.

If you wish to keep some information private (off-line) just mark the individual item's "private" checkbox and it will not appear anywhere on the website, but will retain the information should someone need to contact you and cannot by any other way. This private information can only be accessed by calling us at the voice number listed at the bottom of this page.

If you have already registered, do not fill out this form, but proceed to the Change Entry Form.

If you are merely looking for someone to repair your machine and your do not consider yourself a 'collector', then do NOT fill out this form. Instead go to the search page and use it to locate a local repair person.
First Name:
Last Name:
Business Name: (Only if you have a pinball-related business)
Mail address  
Street: private
City:
State/Province:
Postal/Zip Code: private
Country:
Home Phone: private
Work Phone: private
Cell: private
Pager: private
Fax: private
High Score Initials:
Email address 1: private
Email address 2: private
Web address:
eBay ID:
Primary Interest: (Checking "All Games" will cause all other boxes in this section to be ignored) Pre-flipper games Flipper games
50s games 60s games 70s games 80s games 90s games
Bingo games
Baseball games
Payout games
Electromechanical games Solid State games		 All games
Resources: I know a good local parts source.
I know a good local repair person.
I will help find parts or help with a problem.
Buy & Sell: I am always buying, selling, and trading games.
I am looking to buy games.
I am looking to sell games.
I am looking to trade games.
Machine Collection: (List your current machines in your collection here if you wish. Do NOT list machines wanted or for sale here. Use the Mr. Pinball Classifieds instead.)
Notes: (Any other information you believe would be helpful. Do NOT list things wanted or for sale here. Use the Mr. Pinball Classifieds instead.)



Please wait a few moments after clicking on submit. When your entry has been successfully received you will receive the 'successful' message.
For more information you may contact us by email, email form, or by phone at (801) 277-0888.
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