New User Registration

Account

Please enter a Username to create an account. If you already have an account please login before completing this form.

Username *

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Punctuation is not allowed in a Username with the exception of periods, hyphens and underscores.

After creating a website user account here, you can learn more and sign up for a CNEMT membership using the "membership" menu or by following the link in the welcome email you'll receive after submitting this form.

First Name *

Last Name *

Job Function *

Email *

Primary Phone *

Work Phone

You will receive an email with your username and a link to set your password upon completion of this form.

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Select Member Organization to Affiliate with, if Applicable