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PurchasEdge member enrollment form


	To enroll in HP PurchasEdge, please provide your information below. All fields are required unless otherwise noted. Resellers are not eligible to enroll in PurchasEdge. Please review the program terms and conditions for specific membership requirements.

Member enrollment form

* = required field

First name*

Last name*

Title*

Company*

Company phone*

Address 1 (no P.O. boxes)*

Address 2

Country*

City*

State*

Zip/Postal code*

Phone*

Phone ext.

Fax

Business e-mail*

HP sales representative

First name

Last name

Phone

E-mail

Terms and conditions

		HP occasionally sends additional information (product/service updates, offers, or event info) via e-mail. Would you like 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.

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. If you are a reseller representative, please see the PurchasEdge reseller website, www.purchasedge.com/reseller, for instructions on inviting a customer to the program.

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	»	Contact PurchasEdge
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Customer requirements

To participate in PurchasEdge, your company must meet the following requirements:


•	Spend $500 USD ($505 CAD^†) or more each year on select HP LaserJet or inkjet print cartridges, HP paper and HP storage media.

•	Be located in the United States or Canada.

To review full participation details, please see our terms and conditions


^†	Canadian exchange rate as of 1/10/08: $1 USD = $1.01 CAD. Rates subject to change.

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