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<!DOCTYPE html>
<html lang="en">
<head>
<meta name="generator" content="HTML Tidy for HTML5 for Mac OS X version 5.4.0">
<title>It's easy to find the Office Supplies, Copy Paper,
Furniture, Ink, Toner, Cleaning Products, Electronics and the
Technology you need | Staples®</title>
<meta content="checkout" name="PageName">
<meta content="IE=edge,chrome=1" http-equiv="X-UA-Compatible">
<meta content="noindex,follow" name="robots">
<meta content="Shop Staples® for everyday low prices and get everything you need for a home office or business. Staples Rewards� members get free shipping every day and up to 5% back in rewards, some exclusions apply."
name="description">
<meta name="viewport" content="width=null, initial-scale=1">
<meta http-equiv="Content-Type" content="text/html; charset=utf-8">
<meta http-equiv="x-dns-prefetch-control" content="on">
<meta http-equiv="content-language" content="en-us">
</head>
<body>
<form>
<input autocomplete="false" name="hidden" type="text">
<div>
<div>
<div>
<label for="firstName">
<span>First Name</span>
<span>*</span>
</label>
<br>
<input name="firstName" maxlength="40" autocomplete="off"
placeholder="" type="text">
</div>
</div>
<div>
<div>
<label for="lastName">
<span>Last
Name</span>
<span>*</span>
</label>
<br>
<input name="lastName" maxlength="40" autocomplete="off"
placeholder="" type="text">
</div>
</div>
<div>
<div>
<div>
<div>
<label for="address1">Shipping
Address<span>*</span>
</label>
<br>
<input name="address1" maxlength="35" autocomplete="off" placeholder="" id="oneAutoComplete" type="text">
</div>
</div>
</div>
</div>
<div>
<div>
<label for="emailId">
<span>Email
Address</span>
<span>*</span>
</label>
<br>
<input name="emailId" maxlength="80" autocomplete="off"
placeholder="" type="text">
</div>
</div>
<div>
<div>
<label for="phoneNo">
<span>Phone</span>
<span>*</span>
</label>
<br>
<input name="phoneNo" autocomplete="off" type="text">
</div>
</div>
<div>
<div>
<label for="phoneEx">
<span>Extn.</span>
</label>
<br>
<input name="phoneEx" maxlength="6" autocomplete="off"
placeholder="" type="text">
</div>
</div>
<div>
<div>
<label for="companyName">
<span>Company Name
(optional)</span>
</label>
<br>
<input name="companyName" maxlength="50" autocomplete="off" placeholder="" type="text">
</div>
</div>
<div>
<div>
<div tabindex="0">
<label>Email me exclusive offers & deals from
Staples</label>
<input value="true" name="isEmailOfferChecked" type="hidden">
</div>
</div>
</div>
<div>
<div>
<button type="submit">continue</button>
</div>
</div>
</div>
</form>
</body>
</html>