Please write all card names completely and legibly.
Judge Use Only: M S E
Please include the quanity for card. Last Initial
Full Name: Date: / /
Main Deck
Card Game ID: 0 4 1 2 0 5 2 9 6 5 Event: 39
Monster Cards Spell Cards Trap Cards
3 Maxx "C" 1 Dark Hole 3 Infinite Impermanence 3 Knightmare Corruptor Iblee 2 Cynet Mining 3 Ash Blossom & Joyous Spring 2 Lightning Storm Dogmatika Ecclesia, the Virtuous 3 3 Nadir Servant 1 Dogmatika Maximus 2 Triple Tactics Talent 1 White Relic of Dogmatika 2 Piri Reis Map 1 Blue-Eyes Chaos MAX Dragon 2 Triple Tactics Thrust 1 Chaos Form 1 Dogmatikalamity 3 Super Polymerization 2 Called by the Grave
15 <<< Total in Monster Cards 21 <<< Total in Spell Cards 3 <<< Total in Trap Cards
Extra Deck Side Deck For Judge Use Only
1 Elder Entity N'tss Deck List Checked? 1 Mudragon of the Swamp Judge Initial Infraction(s): 1 Fossil Machine Skull Wagon Description: