Name of Group Leader

First name: Last Name: Must be a faculty-level researcher or teacher at a qualified institution. Please do not include a title (such as Dr. or Prof.)

E-mail address: Enter Group Leader's or other primary contact's e-mail address

Mailing address for fly shipments:

Department or other component of local address, single line, 50 character limit

Institution or company name, single line, 50 character limit

Street address, building, or other component of local address, single line, 50 character limit

City, State, Mail Code or equivalent, single line, 35 character limit,
                                           for example, 'Bloomington, IN 47405-7005' or '31062 Toulouse Cedex'

Country

When you submit the form the information you provide is sent to Bloomington. New accounts are set up at least once each week. You will receive an e-mail with your Bloomington User Number (BUN) once it has been assigned (be sure your e-mail address is entered above correctly). Members of your group can then sign on to your users list with the Add Me to the List form.