Application to Become a Registered User

 
  • If you wish to become a Registered User of this Website, please complete the form below.
  • After you submit your registration form, an administrator will review your request.
  • Your registration will only be approved if the administrators are convinced that you have a genuine interest in the activities of the Fitzroy History Society.
  • You must enter a genuine First Name and Last Name, otherwise your request for registration will be rejected.
  • You may be asked for additional information by email before your registration can be approved.
  • If your registration is approved, the system will generate a Website Password and send it to you by email.
  • Your Website Password is a system-generated password. It is an initial password only.
  • When you receive the email with your Website Username and Password, you should login to the Website and then change your Password to something meaningful to you.
  • We recommend that you copy-and-paste your Username and Password into the login form. This will avoid the possibility of typing errors if you re-key these items.

Application to Become a Registered User

  • Data items marked with an asterisk (*) are required.

  • Hidden
  • Hidden

    OFFICE USE ONLY

  • This field is for validation purposes and should be left unchanged.