Use this form to request a user name and password to access the Private sections of the site. You can also E-mail me at webmaster@thelernerfamily.com. Thank you for stopping by!

Please note: You must actually be related to OUR Lerner family. I realize that there are MANY people with the last name Lerner, however you must come from the same lineage as us. Please be specific in your relationship to us and do not put "My last name is Lerner" or "My Grandfather's last name was Lerner" in the relationship field.

If you are not specific, and if I do not personally know you, you will not be registered nor will your request even be acknowledged!

I do not have time to sort through and do the research required for all of the registrations I recieve. PLEASE BE AS DETAILED AS YOU CAN!!! Thank you.

Note: Some people have expressed concern about submitting personal information over the web...fear not... your information is safe. I am the only person that sees anything that you send and I only need the information to possibly contact you in the future and maintain web site security. The information does NOT reside on an internet server, only my personal secured PC.

**Valid E-mail address required to obtain user name and password.
It will be mailed to the E-mail address provided.

* denotes a required field


Contact Information

*First Name :
Last Name (if not Lerner) :
*State:
Zip Code:
Contact Phone Number:
What is this number?:
Web site:
**E-mail Address:
*What is your relation to our family? (Be Specific!):
Yes, add me to the mailing list!

Security Image Verification

*Enter the Security Code in the image above:


Thank you for your time.

If you left the box checked, I will automatically add you to the mailing list for major web site updates. I also may contact you for other information for this web site only.

do not SPAM and I will NEVER give out ANY of your information to ANYONE.

Please see the Privacy Policy for more information about the safety of your information. When you are done with this form, click "Register" below or press "Clear Form and Start Over".

Please allow up to 36 hours to process. Once you receive your login information via E-mail, your account is active. Thank you.


This web site and all materials contained within are Copyright 2007-2003 Richard Lerner. All rights reserved. Read our Privacy Policy

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