Lucas Center: User Account Request

Name:
Required. Enter your full name.
Email:
Required. Enter your full email address.
Office Address:
Required. Enter street address, building number, room number,
mail code, city, and zip code.
Office Phone:
Required. Enter your full phone number.
Cell Phone:
Optional. Enter your full cell phone number.
Pager:
Optional. Enter the full phone number and pager ID.
Affiliation:    Other:
Required. Select one from menu or enter other.
Position:    Other:
Required. Select one from menu or enter other.
Supervisor:    Other:
Required. Select one from menu or enter other.
Group IDs:
Optional. If known, enter the comma-separated list of the 6-character
group IDs that identify your projects (e.g., glov1u, sawy3f). If you have
not yet been given a group ID, please contact your supervisor or Anne
Sawer-Glover.
User ID:
Required. Enter your last name (lower-case letters only, omit
hyphens). If your last name has more than 10 characters, enter only the
first 10 characters. If your last name has less than 3 characters, add
the initial of your first name at the end (e.g., Ping Li would enter "lip").
Each time that you sign-up for scanner time, you will be asked for your
User ID and Password (below).
Password:    Enter again:
Required. Must contain 6 to 20 characters (case-sensitive).
Notices:Send me email when a user cancels time on:
1.5T Whole Body MR Scanner   
3.0T Whole Body MR Scanner No. 1   
3.0T Whole Body MR Scanner No. 2   
7.0T Whole Body MR Scanner   
Hospital Interventional MR Scanner   
if the time is canceled with an advance notice of:
less than 3 days   
3 days or more