User account

WELCOME!

Creating an account with this website is free. User information is used for internal purposes only and is not shared with others.

Much of this site's resources is exclusive to registered/current participants in our programs. You can request this access by choosing ONE ROLE.

If you have a computer provided by the PCs for MAINE program - choose the 'PCs for MAINE' role
If you are a PC MEDIX customer - choose the PC MEDIX role
If your company uses our eWaste Alternatives service - choose the 'Technology Donor' role
If you represent a school or non profit - choose a 'Non Profit' role.

After registering with the site (using the form below), you will receive an email with your login and password to access the site. This email will contain additional instructions if you requested a role, so be sure to read the entire message.

If you are not participating in a specific program, complete the rest of this form and when asked to choose a role, select '--' (none).

Requests that cannot be verified are deleted without notice. Contact our office if you need any assistance at (207) 338-4233

Account information

Username: *

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E-mail address: *

A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

Apply for role

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Contact Information

First Name: *

Last Name: *

Phone Number: *

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Location

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State: *

Zip Code: *

Organization

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