First Round
The 22 teams ranked 14 to 35 competed in the First Round. Teams ranked 14th–24th were randomly drawn against teams ranked 25th–35th. Teams played home and away against their opponents, except three ties: Puerto Rico–Dominican Republic, Grenada–U.S. Virgin Islands and Montserrat–Suriname, which were played over one leg in late March due to several Member Associations failing to meet the new FIFA Stadium standards and being unable to secure a home venue. The winners advanced to the Second Round.
| Team 1 | Agg. | Team 2 | 1st leg | 2nd leg |
|---|---|---|---|---|
| Group 1 | ||||
| Dominica | 1–2 | Barbados | 1–1 | 0–1 |
| Turks and Caicos Islands | 2–3 | Saint Lucia | 2–1 | 0–2 |
| Bermuda | 4–2 | Cayman Islands | 1–1 | 3–1 |
| Aruba | 0–4 | Antigua and Barbuda | 0–3 | 0–1 |
| Group 2 | ||||
| Belize | 4–2 | Saint Kitts and Nevis | 3–11 | 1–1 |
| Bahamas | (a) 3–3 | British Virgin Islands | 1–1 | 2–22 |
| Dominican Republic | 0–1 | Puerto Rico | N/A | 0–1 (aet)3 |
| Group 3 | ||||
| U.S. Virgin Islands | 0–10 | Grenada | N/A | 0–103 |
| Suriname | 7–1 | Montserrat | N/A | 7–14 |
| El Salvador | 16–0 | Anguilla | 12–0 | 4–05 |
| Nicaragua | 0–3 | Netherlands Antilles | 0–1 | 0–2 |
1 Belize moved their home leg to Guatemala.
2 Both legs played in the Bahamas.
3 Played as one leg due to a lack of acceptable grounds for FIFA competition.
4 Played as one leg at Trinidad and Tobago because neither side are able to provide a suitable venue according to FIFA's guidelines.
5 Played in the United States because Anguilla's stadium is not a suitable venue.
Read more about this topic: 2010 FIFA World Cup Qualification (CONCACAF)
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