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Registration Form

Note: Please do not use any accents or umlauts in this form.
Personal Details
(Required)
Enter full name, eg. John Smith.
(Required)
Enter a user name, usually something like 'jsmith'. No spaces or special characters. Usernames and passwords are case sensitive, make sure the caps lock key is not enabled. This is the name used to log in.
(Required)
Enter an email address. This is necessary in case the password is lost. We respect your privacy, and will not give the address away to any third parties or expose it anywhere.
(Required)
Enter your organisation's name, eg. John Smith Inc.
(Required)
Enter your Address, eg. 4 Privet Drive - Little Whinging - United Kingdom.
(Required)
(Required)
Enter your website, eg. www.johnsmith.org .
Determines if you are added to the OpenTox interest mailinglist with occasional postings.
If you have an interest in using OpenTox predictive toxicology applications as a user.
Determines if you are added to the OpenTox ontology mailinglist.
Determines if you are added to the OpenTox developers mailinglist.
A URL will be generated and e-mailed to you; follow the link to reach a page where you can change your password and complete the registration process.
(Required)
Enter the word