• To enroll in the online ordering portal, you must have your BRIUMVIdirect Account Number(s) available that was provided in your Welcome Email. Please include your BRIUMVIdirect account number(s) in the field below
   
• If you do not have your BRIUMVIdirect Account Number(s), please reach out to BRIUMVIdirect Customer Service at 1-877-486-4567 or via email at cs@briumvidirect.com
   
• Create your own Login ID below as this will become your User ID once online ordering is approved
  • You will receive an email confirmation with your own created Login ID (now your User ID)
     
• You will receive a second/separate email with a link to set up your password
   
• Online ordering access will be made available within 1 business day (submission must be received by 5:00 pm CST in order to be processed for the following business day)
   
• All information below must match the information on your BRIUMVIdirect Business Application Form

Company Name	*Company Name Required
Phone	*Required *Format ### - *Required *Format ### - *Required *Format ####
Email	*Email Required  *Invalid e-mail format
First Name	*First Name Required
Last Name	*Last Name Required
Login ID	*Login ID Required
Your Account Number(s)	*More than one account number can be entered separated by commas (No spaces). *Account Number(s) Required
	More than one account number can be entered separated by commas (no spaces). Don't know your account number? Please call customer service at 1-877-486-4567.