Take An Email Vacation

Sign up for an email vacation. Sending your information helps me keep track of the participants. I won't sell or use your personal information for anything beyond my thesis project. STARRED items are required.
PRIVACY QUESTIONS?

First Name*		Last Name*

Street Address*		Address 2

City*		State / Province / Region*

Zip Code*

Country*

(NOTE: I ask for your postal address so I can send you an exciting Email Vacation postcard in the mail at the end of your vacation.)

Email* Age
You must be over 18 or older to participate.

I pledge not to check my email from / MM* / DD* YYYY*
To / MM* / DD* YYYY*

YES, list me on the page of current vacationers (Optional)
URL to link your name to (Optional)