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Registration Form

Personal Details
(Required)
Enter full name, eg. John Smith.
(Required)
Enter a user name, usually something like 'jsmith'. No spaces or special characters. Usernames and passwords are case sensitive, make sure the caps lock key is not enabled. This is the name used to log in.
(Required)
Enter an email address. This is necessary in case the password is lost. We respect your privacy, and will not give the address away to any third parties without your explicit authorisation or expose it anywhere. Please enter an institutional email (i.e. NOT like yahoo, hotmail or something like this).
A password will be generated and e-mailed to you to complete the registration process.
Contact Info
(Required)
You can enter your company here.
(Required)
You can enter your department here.
(Required)
You can enter your institutional role here.
(Required)
You can enter your institution address here.
(Required)
You can enter your city here.
(Required)
You can enter your zip here.
(Required)
You can enter your country here.
(Required)
You can enter your phone here. There is the international prefix (automatically filled), the local prefix and the number.
(Required)
You can enter your fax here. There is the international prefix (automatically filled), the local prefix and the number.
Alternate Info
Enter an alternate email address.
You can enter your alternate address here.
You can enter your alternate city here.
You can enter your alternate zip here.
You can enter your alternate country here.
You can enter your alternate phone here.
You can enter your alternate fax here.
Privacy Terms Agreement
(Required)

According to art. 13 del D.Lgs. 196/03 we inform you that:

  1. The personal data submitted with the present module will be treated by SCS in electronic form for the registration to the portal and provision of the requested services
  2. Providing the data is optional, but without them it will be impossible to fulfil your request

Having read the privacy statement and knowing the rights declared into art. 7 del D.Lgs 196/03 (access, correction, deletion, etc)

I accept that my data are used for the purposes reported.

Security
Optional, enter the code you were provided when invited to register.
Biomed Town is a community reserved to those who have a professional or educational interest in biomedical research & pratice. If such interest is not self-evident from your affiliation, please write here why we should consider you eligible.
(Required)