User account

Greetings,

To create your NEACT.org account and gain access to exclusive NEACT member content, please complete the form below, filling in all required fields. If you are not a current member, registration is $30. You can use all of the non-member sections of the site until your application has been processed.

For new members, the application process will be completed upon receipt of payment. Please send a check for $30 made out to NEACT to:

Jerusha Vogel
45 Dirksen Drive
Wilton, CT 06897

Username: *

Spaces are NOT allowed; punctuation is not allowed except for hyphens. Please use hyphens as a replacement for other punctuation.

E-mail address: *

A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

Confirm e-mail address: *

Please re-type your e-mail address to confirm it is accurate.

Password: *

Confirm password: *

Provide a password for the new account in both fields.

Personal Information

Salutation:

First Name: *

Last Name: *

Biography:

Web page addresses and e-mail addresses turn into links automatically.
Allowed HTML tags: <a> <em> <strong> <cite> <code> <ul> <ol> <li> <dl> <dt> <dd>
Lines and paragraphs break automatically.

More information about formatting options

Personal Status:

An admin-only field to sort users.

Membership

Declared Membership Type:

Select your type of membership. Standard members should choose Regular. Only select another option if you have authorization from the NEACT Membership Secretary.

Division Region:

Please select the division you reside in regarding NEACT meetings

Complementary Presentation:

If you select Complementary as your membership type, you must enter the event that you are presenting for NEACT.

Professional Information

Display Work Address:

Select whether you wish to display your work contact information in your profile page for other members to view.

Job Title:

Affiliation:

The name of the school, university or other affiliation where you are employed

Work Address1:

Work Address2:

Work City:

Work State:

Work Zipcode:

Country:

Work Phone:

Work Fax:

Home Address

Display Home Address:

Select whether you wish to display your home address in your profile page for other NEACT members to view.

Home Address:

Home City:

Home State:

Home Zipcode:

Home Phone:

Country:

CAPTCHA

This question is for testing whether you are a human visitor and to prevent automated spam submissions.

Which has a higher atomic number, Helium or Barium?: *

Fill in the blank