Backtalk Demonstration Site Conference Account Request Form

Account Identification

The information in the first portion of this form is required for all account requests.

Your Full Name:

This is your name as you wish it displayed to other users in the Backtalk Demonstration Site conferences. Though we prefer that you give your real name, you are not required to.
Desired Login ID:
Each Backtalk Demonstration Site conferencing account must have a unique login id of no more than 8 characters.
Desired Password: Same Password Again:
Select the secret password that you will give when you log into your Backtalk Demonstration Site conference account. It will not be displayed as you type it. Enter it exactly the same way twice to ensure you didn't make a typo the first time.
E-mail Address:
E-mail Privacy:
 Keep my email address private from all other users    
 Keep my email address private, but allow other users to send messages    
 Allow only registered users to see my email address    
 Allow anyone to see my email address, but make it hard for spammers to harvest    
 Post my address publicly for anyone to see    

Personal Information

The rest of this form asks you for various personal information. It's a nice way to let other Backtalk Demonstration Site users know a little bit about you. If you choose, it can be kept private so only the system administrators will be able see it. None of this information is required on an account application.

Telephone Number:
Date of Birth:
Sex:
 Female      Male      None of your business    

Other Information:

Home Page URL:

Privacy: Who may see the information in this section of the form?
All users.
Admins only.


Note that this will immediately begin the creation of your new account. It should take only a few seconds. You will be able to use your new account immedately.