**By completing and submitting this form, you affirm that you have approval from the entity’s Primary Contact to register for CIRSA website access; The member agrees that no person shall be permitted to view or obtain the information accessed through passworded portions of the CIRSA website other than the CIRSA contact and/or other representatives of the member specifically authorized by the member to view or obtain such information; and that the use, safeguarding, and control of access to the passworded portions of the CIRSA website, including the use, safeguarding, and control of its own password, is the member’s responsibility.