Football SA E-Series Results
Please complete the below form following completion of your match.
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Division
*
PlayStation 4
Xbox One
Your PSN/Xbox Gamer Username
*
Opponents PSN/Xbox Gamer Username
*
1st Leg Result (Your Team vs Opponents Team) i.e. 0-2
*
2nd Leg Result (Your Team v Opponents Team) i.e. 2-1
*
Golden Goal Match (if required). Please select who scored first
Your team
Opponents team
Results Screenshot/Photo 1st Leg
*
Results Screenshot/Photo 2nd Leg
*
Golden Goal Match Screenshot/Photo (if required)
Submit
Should be Empty: