Business Application Form

All new BCI customers are required to fill out a BCI Application Form.

You may download the form here in Adobe Acrobat PDF format.

If you do not have Acrobat Reader to open the document, click the button to download the program.
You will then be able to open the PDF document and print it out.

Once you have filled out the form please fax it to 404-420-1578.


If you prefer to have us fax the tax form to you, please contact us at 1-800-522-3497.

465 Memorial Drive SE • Atlanta, Georgia 30312
Call Toll Free: 1-800-522-3497