Please Create a New Account

MACUL has selected a new membership system to better serve our members. Please complete the form below.

We appreciate your time while we get started with our new system. Thank you for being a member!

Account Information

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* Email Address
* Birthdate (This is in case of duplicate accounts)
* Password
* Re-Enter Password
* First Name
* Last Name
* Phone Number:
* Membership Role. Choose an option:
* Job Title. Select the title that BEST describes your job.
* Employer Name. Where do you work?
Choose your school:
Choose your school or district:
* Company Name
*Enter you address