Required fields are marked with an asterisk (*).
Personal Information
* First name:
* Last name:
* Title:
* E-mail address:
* Phone number:
* 4-digit PIN:
* Re-enter PIN:
Organization Information
  Select from this list of organizations
* Organization:
  - OR -Add your organization
* Organization name:
* Type:

See definitions below
Federal Tax No.:

A 9 digit number in this format: ##-#######
Required for non-profit entities only

Organization Type Definitions:

Public educational institutions
Including primary and secondary schools, community colleges, colleges, universities and extension centers, and all similarly situated private and parochial educational institutions which have received the appropriate accreditation from the State of Oregon and, where required, from other authorized accrediting agencies
Any agency of government
Excluding state or federal governments
Non-Profit Entity
Will need to enter their tax ID number to verify status