Create a New Account

Use the form below to create a new account.

Account Information
Do you have a CAPT membership number but don't have a login here?
 Yes  No

Please enter your membership number as well so we can associate your existing membership to this account.
Please select your salutation:
Please enter your first name below:
Please enter your last name below:
Please enter your email address below:
Do you provide your consent for us (CAPT) to periodically contact you at this email address for matters relating to your account and/or membership with CAPT? This may include newsletters, information about conferences, and other offers specific to our association.
 Yes  No

Please decide on a username that you will use for this account and enter it below:
Please deicde on a password that you will use for this account and enter it below:
Passwords are required to be 7 - 16 charaters in length and contain 3 of the 4 following:
  • 1 number
  • 1 upper case letter
  • 1 lower case letter
  • 1 symbol
Please confirm your password below: