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Deactivation Request
Access Request Form
Click here to request via e-mail the deactivation of a user(s) within your organization. Please ensure you include the user(s) name and the system(s) from which they are to be deactivated.
To request access to a LCBO system(s), please complete the form below. For more information on this form,
please click here
.
Important:
Do not use any accented, or language-specific, characters in the fields below. Please also note that the Email Address, Occupation and Company Number fields have specific requirements; place your mouse over these fields and important guidelines will appear in a pop-up box.
* First Name:
Middle Name:
* Last Name:
* E-mail Address:
* Verify E-mail Address:
* Occupation:
* Phone Number:
Ext.:
* Company Type:
Agent
Carrier
Freight Forwarder
Quality Association
Supplier
Company Number:
* Company Name:
Enter the full legal name of the company
* Please select from the following applications:
Available
Selected
In-Store Tasting Program
Inbound Scheduling (IMS)
Merchandising Promotions Tracking System
New Item Submission System (NISS)
QA Product Recall
Web PO
* indicates mandatory field
This application is submitted by the applicant identified in the "Company Name" box above (the "Applicant"). This application must be completed and submitted by a representative of the Applicant who has authority to legally bind the Applicant. The Applicant represents that the individual who submits this application is authorized to bind the Applicant.
By submitting this application, the Applicant is applying for access to the LCBO system(s) identified above, and for the Applicant's user name and password to be provided to the individual identified above. If the LCBO accepts this application, the LCBO will issue a user name(s) and password(s) to the Applicant. The Applicant is responsible for all activities that occur using the Applicant's user name(s) and password(s).
Use of each system(s) identified above is subject to the
Terms and Conditions
that are applicable to such system(s).
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