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Update EUREKA/eCOCIS Records

Click Submit below when you are done.

Site Name:
Site Phone Number:
Your Name:
Your Title:
Your Email Address:

Site-Coordinator for the coming year (receives software & materials)
Name:
Title:
Email Address:
Phone Number:

Technical Contact for the year (person in charge of software installation)
Name:
Title:
Email Address:
Phone Number:

Staff Contact (counselors/staff/librarians/teachers who use the product with clients/staff)
Name:
Title:
Email Address:
Phone Number:

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