Application for an 'Auto-Forward' E-mail Address

Perfect for: Job Changers, Job Seekers, Consultants, People who change Internet services, Organizations, Politicians This application is only for requesting an "virtual" e-mail address (alias)@Norwalk.com. This is an address that only forwards your messages to another active e-mail address you have (such as AOL). The form must be completed in full to be valid for processing. [Register For A POP3 Account] Submissions will be verified for residency. "Forwarded to" addresses must be active and will be verified for residency. Please note that all accepted addresses/alias are granted on a first request basis. Please read Terms and Conditions. We do prohibit any word or combination of text and/or letters that may violate community standards. We do prohibit any alias that may confuse or appear to make the address holder to be another local individual or business. Allow 1 business day to confirm residency and activate your account. E-mail confirmation will contain all required access information and tech support contact. The Fee for an auto-forward account is $24.95 per year. Paid prior to activation. I seek an @Norwalk.com e-mail address for Personal Business Family YES, I am a resident of Norwalk, CT and greater than 18 years old. I realize that if residency can not be verified, my account will be closed. Requested E-mail Address/Name: @ YES, I have read Terms & Conditions Full Name: [Required] Name of business: If for Business use Street Address: [Required] City: [Required] Zip: Day Phone: [Required] Forward all messages to this E-mail Address: Do you have a Web site?