You can type your real name, or a nickname. Real names are only required if your purpose is for Licensing.
It's required, but this will be kept private.
Do you have a website? If so, type it in here. If you are making an entry to a contest, please type the address required by the contest.
Why are you contacting me?
This field is required (obviously!).
If you received a code for the form, type it here. If you didn't get a code, type NOCODE.