DESWARE ON-LINE REGISTRATION FOR INSTITUTIONS
1. CONTACT INFORMATION
(Note: Type NA, if the field not applicable)
*
*
Enter Firstname
*
Enter LastName
*
Enter emailInvalid email
*
Administrator Details
*
Enter administrator name
*
Enter administrator emailInvalid email
*
Enter administrator phone
*
Please select one entry
*
You must specify this field
Username must be between 6-12 characters with no blank spaces
*
Enter Username
(Username must be
between 6 - 12 characters with no blank spaces)
2. PROFILE (Activity)
3. PAYMENT*
Select Plan
Amount
Mode Of Payment
Credit Card Type
*
Enter cardholder name
*
Enter Credit Card no Invalid Credit Card No
* You must type creditcard number without blank spaces
or hyphens
*
*
*
Enter Draft No
*
*
Invalid Date- Draft must not be earlier or later than six months
Institution IP Addresses and/or Ranges
*
Enter domainInvalid domain format
For Institutional subscribers require an IP Address, please print
out the attached PDF version, fill the
information and return to the address stated at the end of the page
To enter Range address click on the checkbox to enable the second
IP address box
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*
IP requires 4 partsIncomplete IPEnter IPIP required
2.
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3.
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Does your institution have a Firewall Server?
If yes, enter the IP address of the Firewall Server
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For your convenience, subscription will be automatically renewed
until you request cancellation. [For cancellation, send an email to
]
Please read the following carefully:
I understand that completion of this form is a binding agreement and I offer my
personal e-mail address in lieu of a signature:
*
Enter verification code
(Note: If you cannot read the numbers in the above
image, reload the page to generate a new one.)
Alternatively:
A downloadable Registration Form in
PDF or
Word is
available. Please print and email with your signature to
.
For further information contact
NOTE:
Please use an active email address when
registering to EOLSS. An activation email will be sent to the email address
associated with your account to provide you access to the service.
Please also ensure that any email spam filters are properly configured to
ensure that you recieve the activation email from EOLSS.
