Exostar Organization Registration

Organization Registration

Please complete and submit the following Organization Registration Form to register your organization to access Exostar products and services. Fields marked with asterisks (*) are required.

Organization Roles and Responsibilities:

Access to Managed Access Gateway (MAG) requires designation of an Organization Administrator and a Organization Contact. Note that both of these roles may be assumed by the same individual. Organization Administrator: The Organization Administrator is responsible for creating and managing users in your organization, as well as maintaining vendor profile information. Organization Contact: The Organization Contact can be the same person as your Organization Administrator or another person in your organization who is responsible for managing the relationship with Exostar.

Organization Information

* Organization Name

* Address 1

Business Unit:

Address 2:

* Organization's HQ/Country of Incorporation

* City

TaxID (US Only)

* State/Province

DUNS #

* Zip/Postal Code

Is your organization certified as a Small Disadvantaged Business in the SB PRO-Net Database? (US Only)

Yes

* Country

Organization Administrator

Title	* Phone
* First Name	Fax
Middle Name	* Email
* Last Name	* Confirm Email Address
Job Title
* Address 1	* One-time Password
Address 2	* Confirm Password
* City		Passwords must be 8 to 12 characters long. They must include at least 4 different characters, 1 alphabetic character, 1 numeric character, and 1 special character. Leading and trailing spaces are not allowed.
* Zip/Postal Code	* State/Province
* Country	* Timezone

Organization Contact

Same as Organization Administrator

Other

Title		* Phone
* First Name		Fax
Middle Name		* Email
* Last Name		* Confirm Email Address
Job Title
* Address 1
Address 2
* City
* Zip/Postal Code		* State/Province
* Country		* Timezone