City, State, Zip _________________________________________________________________
Functions available to access: View Orders Create Orders Material Availability
Will THARCO need to provide user training for this log-in? Yes No
By granting this User Log-in privilege, the individual named above will have access to sensitive proprietary information belonging to THARCO and the above named customer. It is the customer's responsibility to send (via fax) to THARCO Customer Service any change in employee status immediately to protect against disclosure of privileged information. By signing this form, the customer assumes responsibility for protecting the information obtained through this user's log-in unless and until THARCO has confirmed receipt of notification to remove said access from this user.
Users are responsible to change their initial password immediately upon receipt.
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