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Because Remember the Milk is an online application, as soon as you sign up for the program you will be able to use it. When you sign up, you will be asked to give your name, select a user name and a password, and give your email address. Once you have signed up for the program, you may then go onto the settings page and customize the program to meet your needs.
You may further customize the program by customizing the lists for your tasks. What task groups do you have? Some might organize tasks by the different roles they play - marketing, family, business, etc - while others might organize tasks by the type of activity - calls, emails, errands, etc. Whatever means for organizing tasks you determine are necessary, make sure to be consistent.