This form may be used by current members of the CSHCN Industrial Affiliates Program who wish to request access to the Members Only Area. Member status will be verified before access is granted.
Name:
Member Group: Other AT&T Boeing British Aerospace Engineering Ericsson FORE Systems (Marconi) GTE Hughes Network Systems IBM Lockheed Martin Corporation Lockheed Martin Global Telecommunications Motorola Orion Orbital Sciences Corporation Philips Space Systems Loral Superconducting Core Technologies, Inc. Tektron Telcordia Telesystems TRW U.S. Sprint Verizon
If Member Group is Other, enter organization name:
Business Phone Number (with area code):
E-mail Address:
Please enter a username and password that will be used to access the Members Only Area. The password must be at least 4 characters in length and no longer than 12 characters. Record this username and password for future reference.
Username:
Password: Confirm Password:
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