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Staples New User Registration Form

Department name

Employee ID Number

First name

Last name

Work email

Phone number

Provide old order number, invoice number, or prior ordering contact for proper billing address set up
(put N/A if information is unavailable)

Order Number *

Street address

Secondary Street Address

City

State/Region

Does Your Staples Order Need To be Approved *

Yes

No

Have you been issued an individual ProCard*

Yes

No

If Yes, approval is needed, provide Approver's Email