ACM Information Directors' Resources

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  Server Account Request Form for Chapters
Who is authorizing this new account?
ACM HQ Staff Member*:
Chapter Information
  (please fill in all required* fields)
Name of ACM Chapter*:
Chapter web account username: Chapter email*:
Chapter type*:    
User's Personal Information
  (please fill in all required* fields)
First Name*: Last Name*:
ACM Member Number: ACM web account username*:
Email*: Telephone*:
Company/Institution:
Address:
Account Information
  (please fill in all required* fields)
Preferred Login Name*
  (Limited to 8 characters. Please use your Chapter web account username if possible.)
Requested URL *, http://chapter_name.acm.org, to which this account should have write access: