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Step 2. Register

Fund Information

You must have a MGH CCIB DNA Core fund number to register with us. If you have not set up a fund number for your lab yet, please go to step 1 first.

*External Fund # -

Username and Password

*Choose Your UserName: (5-12 characters)
*Choose Your Password: (6-16 characters case-sensitive, no spaces)
*Re-type Your Password:
*Email Address:

General Information

*First Name:
*Last Name:
*Phone Number:
*Institution:
*Department:
* Required field
You may optionally provide your address as well.

Address

You may provide your address if you want. You can always add or edit it after you have registered. It is recommended to provide your address if you ever plan to have materials shipped to you.
Address, line 1:
Address, line 2:
City:
State or Province:
Country:
ZIP: