Organization Account Request Form

Organization Account Request Form

 

Please Note!

Due to the impending deployment of our new mail system, we currently have a moratorium on new organizational e-mail accounts. If you need an organizational account, please submit a request for help and let us know what you need, and we will discuss the options with you. Thank you for your understanding during this transition period.

 

 
Applicant Information

 Name:  
Phone:   
Email:   

Account Owner Information

Name:  

Email: 


Account Designation

Desired User ID: 
Note -- account cannot have the same ID as your organization's listserv.
Account Title:   
Note -- this will be the full name of the account.


Account Details

Purpose of account?



Send the account's email to a different account?
 Yes, forward the email to: 


Usernames of those allowed access to the account:



This account will start off having the same password as 
what other account?

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