Florida Shorebird Database

User Registration

Personal
Salutation
First Name		(Required)
Middle Initial
Last Name		(Required)
Suffix
Affiliation
	Affiliation 2
Date of Birth	Format: MM/DD/YYYY	(Required)
Street Address
Address 1		(Required)
Address 2
Country		(Required)
State/Province		(Required)
City		(Required)
ZIP/Postal Code		(Required)
Mailing address same as above.
Mailing Address
Address 1		(Required)
Address 2
Country		(Required)
State/Province		(Required)
City		(Required)
ZIP/Postal Code		(Required)
E-mail Address
E-mail		(Required)
Re-enter E-mail		(Required)
Contact Information
Contact information same as above.
Contact First Name		(Required)
Contact Last Name		(Required)
Primary Contact Phone	Format: 123-123-1233.	(Required)
Secondary Contact Phone	Format: 123-123-1233.
Fax Number	Format: 123-123-1233.
Create New User
User ID	User ID must be between 8 and 24 characters.	(Required)
Password		(Required)
Re-enter Password
	Password must be between 8 and 24 characters, contain at least one lower case letter, one upper case letter, one digit and one special character such as !@#$%^&*(){}[]
Secret Question		(Required)
Secret Answer		(Required)

Demonstration Website