This form must be completed to create your email address.
Your actual identity is required to access this system.

You must have an existing "real" email address to complete your registration.
Hotmail, AOL, Yahoo and similar "anonymous" accounts will not be accepted.

The information that you submit on this form is for identification and registration purposes only.
It is for the use of the site administrator and is for no other purpose or use.
This information will not be made available to anyone.

ABSOLUTE STRICT NO-SPAM & NO-ABUSE POLICY!

Actual Name :	*
Street Address :	*
City, Prov :	*
Postal Code :	*
Keats Lot :	*
Phone Number :	*
Real email address :	*

Your existing real email address will receive all email sent to "user name"@keats-island.ca.

Provide 3 user names in order of preference :

1st Choice :	*
2nd Choice :	*
3rd Choice :	*

This service comes without warranty of any kind. No responsibilty will be accepted for lost mail.
The keats-island.ca email server has had insignificant downtime.

Comments, Questions: