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Registration
•You must complete all items on this page marked with a red asterisk (*).
•The Organization field refers to your Agency  (e.g. Lansing Police Department).
•Your Title should be the role you serve within your Agency.
•The Username you enter must contain 5-20 characters.
•The Password must  contain 8-20 characters, upper and lower case letters, at least one number and one special character (e.g. ! @ # $ % ^ &).


IMPORTANT! Enter the MAGIC+ Role you are registering for in the Notes box
• Authorized Official
• Project Director
• Financial Officer
• Agency Contact/Program Staff
• Writer (OHSP Only)
• Viewer (OHSP Only)


Contact Information

Name
PrefixFirstMiddleLastSuffix
**
Organization*
Title
Address*
City*State*Zip code*
County*
Phone #1*Phone #2
FaxCell Phone
Email*
Website
Username*
Password*Confirm Password*
Domain (GCSD/OHSP)
Requested Role?*
Notes

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