1. Thanks you for your interest in Connecting with the NER!

Please fill in the information requested below to register for the TOXNET Webinar.

You will be given information about how to access the call upon completion of this survey.

* 1. Please list your name, library/institution and e-mail

* 2. Please describe yourself:

* 3. Please list the zip code of your work, or your residence if you are from the public.

* 4. Optional. Please check if appropriate. I am: