Procurement Card Registration

The purpose of this registration form is to register a credit card which can be used for purchases at a Staples Retail Store. Once registered, you will receive your companys negotiated discounted price or the store price, whichever is lower. The presence of your Master Account Number at the bottom of the store receipt is an indicator that your card has been registered.

If you have already registered your credit card for use in a Staples Retail Store, you do not need to fill out the registration form below

If you have not registered your credit card for use in a Staples Retail Store, please fill out the form below. You will not be able to receive your discount on your credit card until the registration process is complete. You will receive an email confirming your registration.

Division

Master Account

Bill To

Ship To

Credit Card Number*

Credit Card Number is Required.

First Name*

First Name Required.

Enter proper first name.

Middle Initial

Middle name can only contain letters.

Last Name*

Last Name Required.

Enter proper last name.

Phone Number*Ext.

Phone Number Required.

Phone Number should be a 10 digit number.

Phone Extension can only contain numbers.

E-mail Address*

E-mail Address Required.

Invalid Email Address Format.

Confirm E-mail Address*

Confirm E-mail Address Required.

Email and Email Confirmation do not match.

Company Name

Company Name Required.

I Agree to the Terms & Conditions

Please Accept Terms and Conditions before submitting.

Verification Code

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Please enter the 6 character verification code listed above*

Note : The code is case insensitive.

Please enter the verification code.