Signup Form

Please use this form to request a MyWeb20 user account. Once your account has been activated you will have access to your Gallery, Email, and SubDomain.  Accounts are available only for our family members, and close friends.  You must fill in all required fields (specified using bold text and followed by an * ) for the form to submit.

All information provided by you will be kept private, and will never be available to the public, or any third parties.
 

First Name

*

Last Name

*

Your Relationship To Us (Family or Friend of Corrinne or Eric)
Please be specific e.g. Corrinne's cousin, Eric's friend, etc.

*

Email Address (where we can send confirmation and account info)

*

Username (6 to 10 letters in length, all lowercase, no spaces.)
**Note: Username is used to create your web address (URL)

*

Password (6 to 24 Characters long)
Any combination of letters and/or numbers, no spaces. Case sensative.

*

Retype The Password

*

Address Line 1

Address Line 2

City

State/Province/Region

Postal Code/Zip Code

Country

Home Phone Number

Mobile Phone Number

MSN Messenger ID

Yahoo Messenger ID

AOL Instant Messenger ID

Birth Month

Birth Day

Birth Year

Your Occupation

Your Interests, Hobbies, Etc

Any Other Information You Want To Include

The following questions refer to The Private Members List which  requires being logged in to view.
This list is only accessible by  Myweb20 members.

May We Publish Your Name In The Private Members List?

Yes     No

May We Publish Your Relationship In The Private Members  List?

Yes     No

May We Publish Your Email In The Private Members List?

Yes     No

May We Publish Your Address In The Private Members List?

Yes     No

May We Publish Your Home Phone Number In The Private Members List?

Yes     No

May We Publish Your Mobile Phone Number In The Private Members List?

Yes     No

May We Publish Your Messenger ID(s) In The Private Members List?

Yes     No

Which Messenger ID(s)

May We Publish Your Birthday In The Private Members  List?

Yes     No

May We Publish Your Occupation In The Private Members  List?

Yes     No

May We Publish Your Interests In The Private Members List?

Yes     No

May We Publish Your Other Information In The Private Members List?

Yes     No

How Do You Expect To Use Your MyWeb20 Account?

What Is Your Computer/Internet Experience Level

Where Do You Use A Computer?

How Did You Find Out About MyWeb20?

What Site / Search Engine?

May Send You Email Updates?