Cafe J Registration

In order to obtain a member login to the Cafe J chatrooms, we ask that you provide us with the answers to the following brief questions. We assure you that any information you provide will be held in strictest of confidence.


Some information about you:
YOUR NAME:
(First Name, Last Name)
YOUR E-MAIL ADDRESS:
(username@provider.com)

NOTE: we may occasionally mail you updates about our web site, special offers and promotions, or other information we're sure you'll enjoy.
YOUR LOCATION:
(City, State/Province, Country)


Your member preferences:
USERNAME:
(5-10 characters alphanumeric, no spaces, case sensitive)
PASSWORD:
(5-10 characters alphanumeric, no spaces, case sensitive. Please confirm it by typing it a second time in the field below the first)


PROFILE:
(Text that appears each time another user will click on your name. Can be altered once you've entered the chat environment.)
Please make a note of your username and password! As a precaution, we will e-mail these settings to the address you specified above. If you should lose this information at any point, you will need to re-register.



That's All!
Simply submit this form by using the register button below, and follow the further instructions to enter the chat rooms!