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					<h1 class='cnhp-page-title' style='font-size: 160%;'>Request account for Rare PLant Research</h1>
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					Please fill out all fields as it expedites your approval process.
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						Username or Password doesn't match your profile! Try again or click forget my password
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					<form method='POST' class='promote_person' id='rqForm' action='https://cnhp.colostate.edu/rareplant/request-account/'>
						<h5>Account Info</h5>
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							<label for='fusername' class='form-label'>Username :</label>
							<input type='login' class='form-control' id='fusername' placeholder='Enter your username' name='fusername'>
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							<label for='fpwd' class='form-label'>Password :</label>
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						<br/><hr><br/>
						<h5>User Info</h5>
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							<label for='fname' class='form-label'>First Name :</label>
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							<label for='lname' class='form-label'>Last Name :</label>
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							<label for='fnumber' class='form-label'>Phone Number :</label>
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							<label for='forg' class='form-label'>Organization :</label>
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								<option selected value=''>Select your Organization</option>
								<option value='BLM'>Bureau of Land Management</option><option value='CBO'>City of Boulder OSMP</option><option value='CDT'>Colorado Department of Transportation</option><option value='CNPS'>Colorado Native Plant Society</option><option value='CNAP'>Colorado Natural Areas Program</option><option value='CNHP'>Colorado Natural Heritage Program</option><option value='CSU'>Colorado State University</option><option value='DBG'>Denver Botanic Gardens</option><option value='NPS'>National Park Service</option><option value='NC'>The Nature Conservancy</option><option value='USFS'>U.S. Forest Service</option><option value='UC'>University of Colorado Denver</option><option value='UCH'>University of Colorado Herbarium</option><option value='USFWS'>US Fish and Wildlife Service</option><option value='1'>Other</option>
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							<input type='text' class='form-control' id='fotherorg' placeholder='Enter Other Org Name' name='fotherorg' style='display:none'>
							<input type='hidden' class='form-control' id='lastname' placeholder='Name' name='lastname' value=''>
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						<input type='button' id='btnLogin' name='btnLogin' class='btn btn-success btn-lg' value='Submit' onClick='requestChecked();'/>&nbsp;&nbsp;&nbsp;<a href='https://cnhp.colostate.edu/rareplant/research-login/'> <input type='button' class='btn btn-primary btn-lg' value='Return'/> </a>
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