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Form to be completed by the designated company contact only

Enter Company Information
Company / Business Name: *
LexisNexis Account Number: (optional)
Name of Requestor: *
Work Email Address: *
Direct Phone No: *
Special Instructions: (optional)
Do you have a reference number?
For multiple users requests, to whom should the logins be sent?
Is there a specific activation/deactivation date for the user ID?

Type of online access the following users. Request for a user list

Please ensure to review each user before submitting the form.

First Name * Last Name * Email Address * Action  

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The information you provide on this form is being collected by Reed International Books Australia Pty Limited trading as LexisNexis Australia (LexisNexis) for the purposes of processing your registration or enquiry and keeping you informed of upcoming products, services, offers and events. The information is disclosed from time to time to our related bodies corporate for these purposes. The provision of this information by you is voluntary but if you do not provide some or all of the requested information we may be unable to properly process your registration. You have both a right of access to the personal information we hold about you and to ask us to correct it if it is inaccurate or out of date. Please direct any queries to The Privacy Officer, LexisNexis Australia or email to privacy@lexisnexis.com.au. Our Commitment to Privacy - click here.