New Account Setup for dnaLIMS

  Login Information         * Required Fields.
Login Name   *
Password   *
Re-Type Password   *
   
First Name   *
Last Name   *
Email Address   *
 

Contact Information
  Select the Affiliation Type before filling in Contact Info.  
Name   *
Institution   *
Dept.   *
Bldg    
Room/Box No.    
Address 1   *
Address 2    
City   *
State   *
Zip   *
       
Affiliation  
 
Phone   *
FAX    
User Email   *
PI   *
Last, First     (Do not add Ph.D., Dr., or Mr. etc )
PI Email   *
  Business Manager   *
Last, First

When creating your login information, do not use the following characters: < > / ; " =

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