SEV Membership Form

Please provide the following contact information: Also, please include what SEV email address and email password you would like. This SEV email address will be in the form of username@sev.org. If the name that you provide is already in use, we will contact you.

Thank you for your support of the Sylvania Electronic Village.

Would you like to join the SEV Yes

First and Last Name

Street Address

Address (cont.)

City

State

Zip Code

Telephone Number

Contact Email address

New SEV email Address (email@sev.org)

New SEV email Password

The SEV is a Volunteer Organization and relies on volunteer help to keep expenses low. Would you like to help out the SEV and do you have any special skill that would benefit the SEV and the Sylvania Community?

Do you have Cable TV with Buckeye or a Dish?

Whose phone service do you have?
(Buckeye, Verizon, ATT or other)

What kind of internet connection you have?
(dialup, broadband, etc.)

Connection speed?
(1.5Mb, 5Mb, unsure, etc.)

The information from the form will be added to our SEV Member database and will assist us in keeping you informed of SEV News and Services.

Thank you for your support of the Sylvania Electronic Village.

SEV Privacy Statement

Would you like to join the SEV	Yes
First and Last Name
Street Address
Address (cont.)
City
State
Zip Code
Telephone Number
Contact Email address
New SEV email Address (email@sev.org)
New SEV email Password

The SEV is a Volunteer Organization and relies on volunteer help to keep expenses low. Would you like to help out the SEV and do you have any special skill that would benefit the SEV and the Sylvania Community?

Do you have Cable TV with Buckeye or a Dish?
Whose phone service do you have? (Buckeye, Verizon, ATT or other)
What kind of internet connection you have? (dialup, broadband, etc.)
Connection speed? (1.5Mb, 5Mb, unsure, etc.)