Home » Member Support » Deposit Account Check Request

LYRASIS Announces No Processing Fee for Credit Card Payments
Effective August 1, LYRASIS will no longer charge a processing free for payments made via credit cards. In keeping with current banking procedures, LYRASIS is not able to accept credit card payments for Deposit Account Funding, Group Purchases/Renewals, CLP Invoices and OCLC invoices.
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Deposit Account Check Request

This form serves as your request to have a check written against your available deposit account funds. Your request will be processed within 2 weeks and will appear on your next months statement.
Payer:
Institution Name : *
Customer ID #: *
OCLC Symbol:
Please provide us with your contact information.
Name: *
Email Address: *
Phone Number: *

Payee:
Check Payable to :*
Check Amount :*	$
Mailing Address : *
City: *
State:*
Zip:*
Memo:*

Special Instructions:
Please submit any document (i.e. invoice copies, registration forms, etc.) supporting your request to Dorothy Stanton. Please review your request to ensure the information you provided is accurate. Inaccurate information will delay check processing. * Indicates required fields.

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