AAA Test new memeber form New Website Registration Request New Website Registration Request JCC Members: Use this form to request your first login credentials with the JCC Website. This is a one-time event. You should never have to do this again. JCC Membership Type * Member Life Member First Name * If you want your name to include initials please include them within the First Name field. As in F. Scott or Harry S Last Name * Email Address * Please note you may not use this email address for any other user name. If two share an email address you will need to have separate email addresses for both to be registered. Requested User Name * Please observe these restrictions: For security purposes please do not: Use FirstName only Use LastName only Use Initial and LastName Use FirstName and Initial Use FirstName and LastName Please do not use ALL CAPS You may use Letters and Numbers if you wish. Special characters (symbols and punctuation) and spaces are not permitted Please make the username a minimum of eight digits. Thanks. Optional Comments If you are human, leave this field blank.