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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*

Phone*

Phone ext.

Zip/Postal code*

Fax

Business e-mail*

Company information

How many total employees work for your organization, including all company locations?*

What is your company's industry?*

How much does your company spend on HP supplies (ink/toner cartridges and paper) annually?*

$

Which brands are typically used for printing-supply needs?*

Brand		Used (%)

HP sales representative

First name

Last name

Phone

E-mail

Terms and conditions

		I accept the program's terms and conditions*

		HP occasionally sends additional information (such as product/service updates, offers and event info) via e-mail. Leave this box checked to receive these updates. We invite you to visit our Online Privacy Statement to learn how we tailor your communications.



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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	»	FAQ
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	»	Member promotions
	»	Terms and conditions



	»	Enroll in PurchasEdge



	»	Contact PurchasEdge
	»	Member login

Member requirements

To be eligible for PurchasEdge, your company must meet the following requirements:


•	Spend $500 USD ($535 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 11/19/09, the Canadian currency exchange rate is $1 USD = $1.07 CAD. Rates subject to change.

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