If you currently have a user name and password, but would like to change one or both of them, please submit your new choices for a user name and/or password below that you would like to use in order to gain access to the Members Only section of Perfusion Channels©. Note: Even if you are only changing one item, e.g., your user name but not your password, make sure to enter choices for both. The National Office will notify you by e-mail to verify that your new choice for a user name and password has been approved. If you do no have e-mail, please indicate None in the space provided for e-mail. A postcard will be mailed to you verifying your new choices for a user name and password.

Thank you

AmSECT Webmaster


Name:

E-mail Address:

Address:

Instructions:

User names must be between four and twenty characters in length. The user name is not case sensitive. The following characters cannot be used in the user name: " / \ [ ] : ; | = , + * ? < >

Passwords must be between four and fourteen characters in length. The password is case sensitive, e.g., PaSsWoRd

User Name (1st Choice):

User Name (2nd Choice):

User Name (3rd Choice):

Password:

Confirm Password: