BCR - BCR Account Access Request Form

BCR Cutomer Portal Request Form

Please note: Your User ID and password will be emailed to you within 5 business days.

You will need your BCR customer account number in order to complete this form.

Please submit this form online. Fields labeled with a red * are required.

Institution Information * Institution: Library: * Address 1: Address 2: (or P.O. Box) * City: * State: * Zip: -

Contact Information * First Name: * Last Name: Title: * Email: * Phone:

( ) -

* Fax:

( ) -

BCR Account Numbers

BCR Account Number(s) to be accessed via the customer portal (ie: BCR000):

Note: Your account number can be found above your address on paper invoices you have received from BCR in the past, or in the upper right hand corner on statements.

* Account 1 Account 2 Account 3 Account 4 * Email address for receiving BCR invoices:

Finalize Order Comments: * Submitted by:

Note: By clicking on the Submit button, you acknowledge to BCR that you have authority in your organization to access the above listed BCR Account(s).