Livestream Access Registration

Submit this form only once!

Use this form to register for access to our other Livestream broadcasts.

Upon submission, you will receive an email with your personalized link to our Livestream channel. This link is only for you, so do not share it with other people. Others wishing to access our Livestream must fill out this form themselves.

If you have already submitted this form once, it will not let you submit it again. You should already have your link in your email inbox; please use that link. If you have trouble locating it, contact us during regular business hours at 718-591-5353 or info@iccj2004.org. Thank you.

Name(Required)

First Middle Last

Enter your full, legal name. Your real name must be used.

Email(Required)

Enter Email Confirm Email

Enter the email address where you wish to receive communications from ICCJ. The confirmation email with the Livestream link will be sent to that email address.

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

You must enter your correct residential address.

Primary Phone(Required)

(cell-phone preferred)

Primary Phone is a cell-phone(Required)

Yes

Secondary Phone

Secondary Phone is a cell-phone

Yes

I consent to receive communications from ICCJ, via mail, email, phone and text-message.(Required)

Yes, I consent

ICCJ communicates about services, events, website matters and other matters, usually 2-3 times a week.

By checking this box, you promise not to share your livestream link with others. (Others who wish to access the Livestream must register themselves using the same form.)(Required)

I promise not to share the link with anyone.

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Livestream Access Registration

***Submit this form only once!***

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Submit this form only once!