Bronzevillenow Blogger Registration

Blogger Registration Form

Please fill out the form below to register to become a blogger on Bronzevillenow.com.
Full Name*

First NameLast Name
E-mail*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number

Area CodePhone Number
Twitter Info
What is the url of your twitter page. Example: https://twitter.com/your twitter name
Facebook*
What is your Facebook username or fan page url.
Note: Select your desired username. This username will be used in the future for you to login into the web site to write your blogs and maintain your profile. You will be given a generic password that you can change once your blogger profile is set up.
Username*
Please give us a short bio about your self. This will be placed on your Blogger profile page.
Short Blogger Bio*
Note: 1 profile photo is required for your blogger featured profile.
Profile Photo*

Upload a File
Upload 1 photo for your Blogger Profile Cancelof
Extra Photo

Upload a File

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Extra Photo

Upload a File

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Select the subjects you would like to blog about.*

Neighborhood NewsNeighborhood PoliticsNeighborhood Crime AlertsEducationArt & CultureLifestyleBussinesSportsHealth & FitnessReligionOther
Proposed blog idea
Give a short description of your blog idea - go into detail.
Do you have any work online ?*
Please give us a list of your work online
Example: Url 1 Url 2 Url 31 url per line
Enter the message as it's shown*
Should be Empty: