New Account Setup for dnaLIMS

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

  Affiliation
Select the Affiliation Type then PI before filling in Contact Info.
Affiliation *
PI * (Last, First)
(Name of the Senior Researcher for your lab or project)

Contact Information
Billing Information (Accounts Payable)
Name *
Institution *
Dept.
Address *
Address 2
City *
State or Country *
Zip *
Phone * Ext.
Fax  
Email *
Shipping Information
Name
Institution
Dept.
Address 1
Address 2
City
State or Country
Zip
Phone Ext.
Fax
Email


     

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

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