HoTMaiL Registration Form
Please fill out the form completely and accurately. Thank you.

We use this information for our own general demographic information and so we can tailor sponsor's advertisement banners presented to you. We hold all the personal information private and do not disclose it to anyone without your explicit permission. We cannot process incomplete forms.

1. HoTMaiL Setup
_ Your login name will be used as your email address (login@hotmail.com)
 Choose a Login Name: @hotmail.com
 Choose a Password: For secure access to HoTMaiL
 Re-type that Password: To confirm password selection
 Your First Name:
 Your Last Name:
(Full name will be sent on outbound mail)
2. Location Info
 City:
Please Select One US Address [_] Non-US Address
 U.S. Addresses only:
Zip Code:   
 Non-U.S. Addresses only: Additional Address Information (State/Province/etc.):


Postal Code:   

3. Background Info

Sex:
M[_] F 		Which best describes your occupation?
Year of Birth?
19		 HOW did you hear about us?
Household Income:
 WHERE did you hear about us?
[_]
Four11 Directory Registration
The Four11 directory is a free online search and listing service. HoTMaiL gives you the option of automatically registering your new HoTMaiL E-Mail address with Four11's free service as part of our registration process.
Note: Only your new HoTMaiL Email Address, along with your Name and Location are forwarded; Background Info does not leave HoTMaiL.
Would you like Automatic Registration? Yes, Register Me! [_] No Thank You
[_]
© 1996 HoTMaiL. All Rights Reserved.