Please fill in the following information. Only complete forms will be processed!
Requested Channel Name Your Registered Nickname Your Valid Email First name Last name Address Address City State ZIP Country The following box is provided for you to explain what the purpose of your channel will be. Please make this as descriptive as possible. What other Networks do you chat on? What other Nicks do you use while chatting? What Church do you attend? Please tell us about your testimony? Next we ask that you list 8 channel supporters who have registered nicknames on The Christian Chat Network. Channel supporters are friends of yours on the chat network who think you can properly run and moderate a channel. This is basically a character reference, and you do not have to give these people ops. Each supporter must have a registered nick, and each supporter will receive an email stating you listed them as a supporter. You must get permission from each person you list to use them as a supporter. You cannot list yourself, nor can you list any one person twice, even if they have 2 nicknames. If you list people as supporters without their permission, list yourself, or list the same person multiple times, we reserve the right to deny all future channel requests you may submit. Supporter 1 Supporter 2 Supporter 3 Supporter 4 Supporter 5 Supporter 6 Supporter 7 Supporter 8
