INFORMATION PAGE

 Yahoo! Chat Room Two Regulars Site

Your PRIMARY Yahoo! Chat Alias:

How many Yahoo! Chat Aliases do you have?
    A. More than 5
    B. Less than 5 but more than 1
    C. One (PRIMARY listed above)

If you answered A or B, list UP TO FIVE of your Yahoo! Chat Aliases (separatewith commas):

       Do NOT include your PRIMARY Yahoo! Chat Alias

E-Mail Address:

Do you want your e-mail address posted on your page on my site?
    Yes
    No

Location: (ie: England, Scotland, USA)

        If you are in the USA, which state?
        

If you have a website you've made that you'd like to share with others, type in the site address below:

            Another site?
            

            Another site?
            

One-Line Personal Quote:

Tell Others About YOU! (suggestions: Yourself, Family, Friends, Hobbies, Occupation, Likes/Dislikes)

Anything you like, but please keep it clean!

***IMPORTANT ***         TWO files you will need to send me. 

     1) A PICTURE OF YOURSELF 

  * 2) A PICTURE/ICON FOR YOUR PRIMARY WEBSITE

At the present time I am unable to include attachments for files to this form.