• Automatically register yourself to be a user of PeacefulStreet/Surveys by filling out and submitting this form. Only registered users are allowed into PeacefulStreet/Surveys
  • Choose a username for yourself (such as your last name) and make sure this username contains no spaces. 
  • Also create a private password. Together these will be your "key" into PeacefulStreet/Surveys from now on. This information will be kept in a registration database that is accessible only to the webmaster, not to ordinary users.
  • After you are successfully registered, your web browser will ask you to type in your username and password the first time you try to access PeacefulStreet/Surveys. The browser will remember this information for as long as it continues to run.
  • Registration not needed during test period

Form Submission

Make up a username:
-- you can use mixed case
Make up a password:
-- keep this private!
Enter password again:

-- for verification

-- Password hint (use name of pet, name of high school, place of birth, etc)


Enter e-mail address:
-- if you have one


Copyright 2000 PeacefulStreet.com/Surveys. All rights reserved.
Revised: May 20, 2007 .

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