Forum - New Member Registration - Citizens For Y2K Recovery

-4520 Days until 2000

Registration Form

Dedication - This Forum is dedicated solely to helping communities prepare for Y2K. Please do NOT use this resource for general purpose Y2K discussions. If we are to accomplish our mission, it is crucial that we stay focused on community action. Thanks for helping.

Forum Accessibility & Protocol - The Forum is open to all -- you do not have to be a CY2KR member to participate. The only requirements are that you conduct your communications in a civil manner, and that you register for the issuance of your permanent password.

Confidentiality - All personal information will be held in strict confidence. It is not sold, rented, or exchanged.

Username & Password Issuance - Please provide your own username when completing the registration form. After you submit your registration data, a password will be automatically sent to your e-mail address. You will need both -- username and password -- to access the Forum.

If you don't receive a return e-mail, it means that we did not receive a valid e-mail address, and you must repeat the registration process.

Username & Password Changes - Once you have registered and received your password, you may change it and your username in the future -- simply enter the Forum, click on "Change User Info." and make whatever changes you wish.

First Name:
Last/Family Name:
E-Mail:	To receive your password, you must enter your correct e-mail address.
Username:	The user must provide this information.
Suite/Apt:
Street:
City:
State & Zip:	State: Zip:
Country
Phone:
Fax:
Add you to our Mailing List?	Yes No
Comments?

How did you find out about Citizens for Y2K Recovery?:

Word-of-mouth
Web-site link or reference
Which one?

Search Engine
None
AltaVista
Excite
HotBot
InfoSeek
Lycos
Magellan
NetFind
NetSearch
Northern Light
PlanetSearch
WebCrawler
Yahoo publication

Print Media
Newsletter
Magazine
Newspaper

Radio

Television

Audio or video tape

Other:
From your own point of view, which TWO of the following Y2K topics are you most interested in?:
Food storage/management
Water
Back-up power
Emergency communications
Financial asset managementp/protection
Relocation
Health/Medical management
Neighborhood/community preparedness
Political ramifications
Other:
What is your "best guess" as to the outcome of Y2K?:
A minor "bump in the road"
A recession
A depression
World-wide economic "melt-down"
Destruction of civilization as we know it
Would you be interested in participating in the creation and/or the expansion of a Local Y2K Action Group?:
Yes No Maybe
Are you a member of Citizens for Y2K Recovery?:
Yes No
If No, would you let us know why?:
I haven't gotten around to joining, but I plan to shortly.
Membership fee is too expensive.
I already have Jim Lord's book.
I already subscribe to Y2K News Magazine.
My interest in Y2K is only marginal -- not strong enough to join at this time.
I don't know enough about CY2KR to justify joining.
My guess is that I can obtain most of the info you provide via the Internet.
Other:
Where do you stand relative to your personal / family Y2K preparedness program?:
Check the one that is closest to your current status:
90 - 100% Complete
Between 70 and 90% Complete
Between 50 and 70% Complete
Between 0 and 50% Complete
Nothing accomplished