Twitch Team Application Form
NAME
First Name
Last Name
Twitch Username
Are you a member of any other Twitch team?
Yes
No
If yes, name of the Twitch Team
Have you been a member of any other Twitch team?
Yes
No
If yes, name of the Twitch Team
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
I HEREBY AGREE TO ABIDE BY THE PRESENT AND FUTURE RULES OF RELATED TWITCH TEAM
Signature
Submit
Should be Empty: