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PurchasEdge member enrollment form

PurchasEdge member enrollment form


	To enroll in HP PurchasEdge, please provide your information below. Resellers, office-products suppliers and HP reps are not eligible to enroll in PurchasEdge, but can register and access program resources at www.purchasedge.com/reseller. Please review the program terms and conditions for specific membership requirements.

Member enrollment form

* = required field

First name*

Last name*

Title*

Business name*

Business phone*

Address 1 (no P.O. boxes)*

Address 2

Country*

City*

State*

Direct Phone*

Direct Phone ext.

Zip/Postal code*

Fax

Business e-mail*

Confirm e-mail*

For a business e-mail address to be valid, it needs to be from a business domain. We are unable to accept personal email accounts such as Gmail or hotmail.

HP sales representative

First name

Last name

Phone

E-mail

Terms and conditions

		I accept the program's terms and conditions^*

		PurchasEdge sends out email messages with exclusive offers, product introduction news, and updates for HP PurchasEdge Members. Leave this box checked to receive these updates. Before you choose, visit our Online Privacy Statement to learn how we use automatic data collection tools and your personal information to tailor your communications.^*

To participate in the PurchasEdge program, you must accept the program's Terms & Conditions and e-mail contact by checking the boxes above. If you wish to proceed, please check the boxes in order to submit your enrollment.



By completing this enrollment form you certify that you are an official representative of the applicant company and authorized to apply for membership in the HP PurchasEdge program.




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Member requirements

To be eligible for PurchasEdge, your company must meet the following requirements:
• Spend $500 USD ($485 CAD^†) or more each year on qualifying Original HP supplies like LaserJet or inkjet print cartridges, HP paper or HP storage media.
• Be located in the United States or Canada.
To review full participation details, please see our terms and conditions.
^† Effective 01/01/12, the Canadian currency exchange rate is $1 USD = $.97 CAD. Rates subject to change.

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