Please fill out this short form.
* Name Your full name and surname.
* E-Mail E-mail address to which the account information will be sent.
* Password The password you wish to use for login.
* Organization The organization you work for.
* Purpose Why you want to use this service.
* User-Agent Name the soft- or hard-phone (e.g. Ekiga, Snom phone, etc.) you will be using with this service.
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