12seconds.tv Invitation-Only Alpha
Questions marked with an asterisk (*) are mandatory.

startupmeme_logoWelcome StartupMeme readers!

Please fill out this very brief form to be included in the 12seconds alpha. We'll pick the first 100 entries from this list to join the site.  Also, we really are in 'alpha' which means you will see bugs, and we want to get your feedback.  You can report any bugs to bugcrusher@12seconds.tv, or record a video and tag it bugs/feedback.  Shouldn't be too time consuming, and you're feedback will affect the course of all humanity (or at least the course of 12seconds.tv)
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* First Name:
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* Last Name:
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* Email Address:
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If you own a video capable cell phone, please tell us what kind:
Thanks very much, if you are one of the first 100, we'll contact you by email.

Clicking the SUBMIT button below will officially add you to the invite list, and you will then be redirected to the 12seconds.tv website.  You MUST click Submit to be entered!