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User Registration
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Please input registraton information below. As per our Privacy Statement in the User Agreement, this information will be private and confidential unless you select to make it public through your choice below in "Preferred Method of Contact".

  I affirm that I have read and accept the terms of the INDEX User Agreement, including the Privacy Policy.

(*) = Required Field

 
*Preferred Method of Contact:
*Contact First Name:
*Contact Last Name:
Title:
Organization or Individual:
*Address One:
Address Two:
Address Three:
*City:
*State  or  Province/Region:   or  
*Zip Code:
Postal Code:
*Country:
Telephone No.:
Fax No.:
Mobile No.:
URL:
 
Type of Subscription:
The "Free Trial Membership" offer will only be in the first year of the INDEX. After that, membership will be in different categories:
  • Per Use (24 hours) - $5
  • Trial Membership (one month) - $10
  • Regular Membership (3 months) - $15
  • Regular Membership (6 months) - $25
  • Regular Membership (1-year) - $40


  • Professional Services Membership-$100 begins immediately.

    Please allow 7-10 days for processing when payment is required.

     
    Create your User Name & Password:
     
    Please enter information for your member login. Your email address will be your "User Name" - enter your email address exactly as it appears on your outgoing email. For example, myname@example.com. If you do not do this we may not be able to service your registration request. Choose a unique word or set of characters for your password. The most secure passwords include numbers and letters.
     
    *User Name:   (your email address)
    *Password:   (4-10 characters)
    *Confirm password:   (type password again)

     

    *How did you learn about the ArtSci INDEX?

    Personal referral
    Print advertisement or other PR
    Magazine or Journal article
    Newsgroup/usenet article
    Web surfing (search engine)
    ASCI monthly ebulletin
    Other


     

    User Agreement  |  Copyright 2001, Art & Science Collaborations, Inc.