Make sure to install both parts of Zotero: the desktop application (Zotero Standalone) and the browser extension (Zotero Connector). To install both, go to zotero.org/download.
After the install you should see the Zotero application in your start menu (Windows) or applications folder (Mac).
A Zotero account allows you to
To sign up for a Zotero account, simply go to the registration page, fill out and submit the form, wait for the confirmation email and click on the confirmation link it will contain.
To set up syncing:
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