U3A Site Builder: New Site Registration

Please complete and submit the following registration form. Data is required in all entry fields.
For security, choose a login name containing both letters and digits, and at least 8 characters in length.
Make a note of it, as you will need to enter it whenever you edit your site in future.

Your U3A, Network or Region:
Your name:
E-mail address:
Choose log-in name: (8-10 characters, letters and digits)
Repeat log-in name:
Site type:  
Please confirm:   I am authorised to create this website by the Committee of the U3A organisation concerned and undertake to involve them in any decisions about the design and eventual launch of the website.

Privacy: your name and e-mail address can be seen only by the system administrators.
It will be used only when it is necessary to contact you about your site.