If you have created and account already and you have forgotten your username and/or password, please send an e-mail to website@tejatc.org or call 419-666-8088.

Login Application
Please fill out this form to create a new account. Please enter all of the information and click the SEND button at the end of the form. We will review your information. Within twenty-four hours, your request should be processed.

Username/Password Registration Form
* identifies required fields. These are required in order to process your request.
First Name *:
Middle Name:
Last Name *:
Phone *:
Other Phone:
Home Address Line 1:
Home Address Line 2:
Home City:
Home State:
Company Name *:
Job Title *:
Affiliation Type *:
First 5 of SSN: *:
Email Address: *:
For the username and password, we recommend that a minimum of 6 characters are used.
Username (No spaces) *:
Password (No spaces) *: