REGISTRATION FORM

Sponsored by
VJ Enterprises
Des Plaines, Illinois, U.S.






Thank you for your interest and participation in NA NET GLOBAL, a New Age Network of Web Sites on the Internet. If you will take a few moments to fill out this form, we will be happy to add you to the list of members of our Global Network.

Form Notes: You do not need to fill out any item which is marked OPTIONAL, but in order to be listed we must have a correct URL address. So that we may contact you for future announcements, we also need you to provide an email address of a contact person. Also, notice the various checkboxes in the form; if they are checked, this information will be included in your listing on the Member Page Lists.

After we have verified that your site exists and that you are actively involved with sharing information related to New Age Subjects (Holistic / Metaphysical / Spiritual -- there will be no judgement on our part, of course), your web site will be added to the Member Page Lists for the next month. If you have any questions, please don't hesitate to contact myself (Joshua "Illinois" Shapiro) or my assistant (Jen) via email at any time. We always welcome any suggestions on how to make the network serve its members to the fullest. Thank you again for your interest.

Joshua (Illinois) Shapiro







Required Information


Your Web Site URL Address:

(Note: Please include your entire URL address, beginning with "http://". Thanks!)


Your Web Site Name:


Email Address of Site Contact:

( Include E-MAIL in Member Listing: )


Organization/Sponsor's Name: (Optional)


Web Site Administrator/Contact Name: (Optional)

( Include Admin/Contact Name in Member Listing: )







Mailing Address & Phone/Fax (Optional )


Include in Member Listing:

Mailing Address: Phone Number:


Street Address:

City:

State (if any): Zip or Postal Code:

Country (other than US):

Telephone No.: Fax No.:

(Please Note: If you are outside the U.S.,
please include your Country Code and City Code with your phone number. Thanks!)




Web Site Description


IMPORTANT: For the description of your web site, you may enter up to 6 lines of text. Try to summarize the most important aspects of your web site, (e.g., information, products, or services you are offering). If you include more than the 6 lines of text, we may have to do our own editing in order to be consistent and fair with all of the other members.

You may select a maximum of 3 subject categories which best describe the information, products, and/or services you are offering via your web site. These categories will enable us to list you in an index of members sorted by category. We have provided 20 different areas which we feel cover most UFO-related subjects. Thank you.



Web Site Description



Category 1


Category 2


Category 3



Please enter any comments about NA NET Global here (optional):

Before you submit this form, please take a moment to look it over and make sure that there are no errors (e.g., typos), especially in your URL and email addresses. We create your Member entry on our Member Page Lists directly from the information we receive from this form. Unfortunately, this includes any incorrect information given. So, please double check that what you are about to submit states exactly what you want to appear on our Member Page Lists. And thanks again for your participation in NA NET Global!