Registration Request Form

PLEASE NOTE: If you ARE a U.S. Government employee or contractor, and NOT currently a registered DTIC user, use this form to request a DTIC^® registration packet. Due to the high volume of messages we receive, we regret that we cannot guarantee a reply if your message is not relevant to the purpose of this form.

For information about specific DTIC products and services, please go to the Products and Services Page. For a complete listing of the fees that DTIC charges for its products and services, see DTIC's Pricing Schedule: http://www.dtic.mil/dtic/price_list.html

• You ARE one of the following:
      --an employee of a DoD organization, DoD contractor or potential DoD contractor.
      --an employee of a non-DoD U.S. Government agency or non-DoD U.S. Government contractor.
      --a member of a university involved in federally funded research throughout the U.S.
  
• You are NOT currently registered with DTIC.
  

		I am not a registered DTIC User but would like to register. Please send me a DTIC registration packet.
	Name:
	Organization:
	Address:
	City:
	State:
	ZIP:
	Email Address:
	Commercial Phone Number:
	DSN Number:
	Commercial FAX Number:
	DSN FAX Number:

In order to provide you the best possible service, DTIC would like to know if you are registering with our organization to gain access to one of our products and services. If you intend on signing up for any of the following, please check the corresponding box:

	Private STINET
	TR CD-ROM
	TR DVD
	ECAB
	CAB
Comments or Questions:

October 2004
reghelp@dtic.mil