Chat Room Application Form

Chat Room Request

 What Name would you like to use for your Chat?

Chat Room Name no more than 30 letters

:

 Please describe the Type of Chat Room you want to have on our server, This is a private chat server we reserve the right to refuse service to chats we believe are inappropriate.

Keywords for the search engines to find your chat page  ie: dogs, cats, muscle cars,

 

Tell us how to get in touch with you: Your name and email are required, your  phone number is not. your IP is logged when you send this form. 

We will send you an email with webchat-url and irc connection info as soon as your chat is ready.

Name
E-mail
Country
Please contact me as soon as possible regarding this matter.


 Chat Room Application Form

Chat Room Request

 What Name would you like to use for your Chat?

 

Chat Room Name
:

 Please describe the Type of Chat Room you want to have on our server, This is a private chat server we reserve the right to refuse service to chats we believe are inappropriate.

Tell us how to get in touch with you: Your name and email are required, your  phone number is not. your IP is logged when you send this form. 

We will send you an email with webchat-url and irc connection info as soon as your chat is ready.

Name
E-mail
Tel
FAX
Please contact me as soon as possible regarding this matter.


 

ęCopyright Nativechat.Net
 Copyright 2004 All Rights Reserved