User Access Request

CIEER requests the following information so that we may effectively monitor the usage and performance of the database. We actively solicit, and will respond to your comments on the database performance and usability. We may also contact you from time to time regarding system changes and service interruptions.

Please fill out the following information and press the SUBMIT button
(
* required)

 Username *
 Password *
 Password *
Title *
 First Name *
Middle Name
 Last Name *
 Organization *

 Address *


 

 Country *
 Telephone *
 Fax
 Email *
 Occupation *
 Education *
 Gender

What is your current occupation? (Please be specific about field, job, site.)

How did you hear about GEIRS?

What is your interest in GEIRS?

Before you submit your request, we need to remind you that you are responsible for knowing the policies in the document Terms and Conditions for use of GEIRS

I have read and agree to the policies for use of GEIRS.

Check the box above to indicate you agree.


Email your Comments, Questions or Suggestions to geirs@cieer.org
Copyright 1998-2002. CIEER Inc. All rights reserved.
All images and maps produced and copyrighted 1996 - 2001 by Graphic Maps.