AMPHC New User Registration

AMPHC New User Registration

User Information

Note: Registration is for members only. Please be careful and double check your entries before submitting. Try not to add any spaces to your entries. After registering, you will receive an email to verify your email address. So please be sure to check your junk or spam folders for the verification email and promptly respond to it, or your registration will not be complete.

Name allowed characters are a-z A-Z between 2 and 32 characters.

First Name:

Last Name:

Optional Phone number: xxx-xxx-xxxx or (xxx)xxx-xxxx or xxx xxx xxxx or just numbers

Phone Number:

A valid email address is required.

Email:

User name allowed characters are a-z A-Z _ 0-9 between 8 and 25 characters.

User Name:

Password must be at least 8 characters long and include at least one uppercase letter, one lowercase letter, and one number. Special characters are allowed.

Password:

Existing user? Login here

Password must contain the following:

A lowercase letter

A capital (uppercase) letter

A number

Minimum 8 characters