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Click on the "help" icon for information/assistance in completing a given field.

Please fill in the form below to create an account on the system. Users should only have one account each. If you already have a user account, please login here.

Account Info

The entries marked with * are required

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(No spaces)

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Please create a "Strong" or "Very Strong" password. The criteria:
    1. Minimum number of characters is 8
2. Contains at least 3 of the following:
    * Uppercase Letters
    * Lowercase Letters
    * Numbers
    * Special Characters: !@#$%^&*,;
Weak Medium Strong Very Strong

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Contact Info

Please enter your contact information below.

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If your organization does not appear in the list, please contact the Help Desk.

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Enter the appropriate DUNS & EIN numbers for the organization listed in this contact record

  help for EIN

  help for DUNS Number

Demographic Info

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Degrees








 (specify):
 (specify):

Ethnicity

Race







This is a Cancer Prevention and Research Institute of Texas computer system, which may be accessed and used only for official Government business by authorized personnel. Unauthorized access or use of this computer system may subject violators to criminal, civil, and/or administrative action. Any information on this computer system may be intercepted, recorded, read, copied, and disclosed by and to authorized personnel for official purposes, including criminal investigations. Access or use of this computer system by any person whether authorized or unauthorized, constitutes consent to these terms.