E-mail Registration Form

I would like to register as an Alumni of the DELEHANTY ALUMNI SITE. Here are my details
Please note the form has been expanded to accommodate our overseas members
The form also now includes Message Board access as the board is password protected

Personal Information
Name at Graduation Yr Graduated
Married Name
Address
Street Line 1
Street Line 2 (If necessary)
City State Zip (Or Postal) Code
Country
E-Mail Address
Home Phone
Post your E-Mail Address to the Alumni List? (Yes /No)
Message Board Access - The Board is now Password Protected
User Name No Spaces - Case Sensitive
User Password Max eight (8) characters - Case Sensitive
COMMENTS:
Once you have clicked on the Submit button once, you should be taken back to the main menu page.
If you have problems submitting the form, please send your information by regular e-mail.