Rosen Publishing Order/Renewal Form
If you encounter problems with this form please contact Chris Cook (x138).
Please submit this form online. Fields labeled with a red * are required.
* Are you tax exempt? No Yes
Do you use a proxy server? No Yes
Does your proxy server serve only the users for whom you are purchasing this subscription? No Yes
Can you provide Remote Patron Authentication? (RPA) No Yes
Do you use a modem/dial-up connection? No Yes
By providing IP#s for your institution's computers, your patrons, students and staff will be able to access the Rosen product without using passwords.
Please enter the numeric IP addresses through which your patrons and staff will access the Rosen product.
Use only numerals, full stops (.), and/or asterisks (*).
Examples: 199.045.145.001 through 199.045.145.080
Use the comments box to describe more IP addresses.
By automating the order process, BCR has been able to control the costs of processing subscriptions. Placing orders by snailmail or fax increases our processing costs.
When you click on the "Calculate" button (below), this section of the form will automatically calculate your costs and summarize them. The order is not a commitment until you click on the "submit" button at the very bottom.
Pricing for School District, Large Public Library (50,001+ cardholders) or Hospital is available upon request using the online Quote Request Form.
Teen Health & Wellness
Please indicate your form of payment (required).
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