Agent Acceptance Form - Baby Cord Link

Congratulations 🎊

You're an official Sales Agent with BCL, now we just need some more information to complete your application with BCL, please fill in the form below.

Full Legal Name(Required)

First Last

Business Name (Optional)

Phone(Required)

Email(Required)

How do you want to get Paid?(Required)

Mail A Check

Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

ACH Payment Details

Bank Name(Required)

Branch/City(Required)

Bank Account Number(Required)

Routing Number(Required)

(ABA for U.S. banks)

Account Type(Required)

Zelle Payment

Zelle Email Address or Phone Number(Required)

Please double-check that the email address or phone number you provide is accurate and correctly linked to your Zelle account. Incorrect details may result in failed or misdirected payments, and we will not be responsible for such issues.

To complete your affiliate registration and ensure proper tax reporting, please download and fill out the W-9 Form. Once completed, kindly upload the form. This step is essential for us to process your payments. If you have any questions or need assistance, please don't hesitate to contact us.

W-9 Form File Upload

Max. file size: 256 MB.