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Staples Account Change Form

- Order Forms

Staples Change Form

To change contact information for an existing ICS Staples Advantage account, please complete the form below. You will be contacted by Staples when your account is changed.
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- Current Organization Name REQUIRED Please fill out this field. Please enter valid data.
- Ship to line 2 (Office Name) Please enter valid data.
- Current Street Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Current Ship to Account Name or # REQUIRED Please fill out this field. Please enter valid data.
- Current Bill to Account # REQUIRED Please fill out this field. Please enter valid data.
- Which Contact do you want to change? REQUIRED Please fill out this field.
- Current Accounts Payable (AP) Contact information:
- AP personnel stay the same REQUIRED Yes No Please fill out this field.
- Current AP Contact Name (First & Last) REQUIRED Please fill out this field. Please enter valid data.
- Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Revised AP Contact Information
  
  New AP Contact Name (First & Last) Please enter valid data.
  
  New Email Please enter an email address.
  
  New Phone Number Please enter valid data.
- Current Authorized Purchaser Name:
- Authorized Purchaser stays the same? REQUIRED Yes No Please fill out this field.
- Current Purchaser Name (First & Last) REQUIRED Please fill out this field. Please enter valid data.
- Current Email REQUIRED Please fill out this field. Please enter an email address.
- Current Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Revised Authorized Purchaser
  
  New Aurthorized Purchaser Contact Name (First & Last) Please enter valid data.
  
  New Email Please enter an email address.
  
  New Phone Number Please enter valid data.
- ICS USE ONLY - Information entered by:
- Comments:
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