* 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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