Email Registration Tool

Register for Online Ordering

***COMPLETE THIS FORM SO THAT YOUR ACCOUNT CAN BE SET UP***
Register for your access to the StaplesBusiness.com ordering site customized for NJS by completing the form below. In approximately 3 business days you will receive your login in an email from Staples. Through this program, you will have access to all the products you need to make your workday a little easier. Staples Business offers NJS exclusive discounts on a wide variety of national manufacturers including Diversey and P&G. It also offers fast and free delivery, dedicated account management and excellent customer service. Find more details on this program and easy access to the ordering site through the Vendor Portal on www.natjan.com. Questions? Contact Thomas.Grounds@staples.com.

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Fields marked with an * are required.

* First Name:

* Last Name:

* NJS Vendor ID:
(6-7 digit number, ex. 012345)

* NJS Vendor Company Name:
(Ex. ABC Cleaning Co.)

Delivery to Company Name:
(if different from Above, Ex Acme Stores)

* Delivery Address 1 (No PO Boxes):

Delivery Address 2 (SUITE, UNIT, APT #):

Delivery Notes:

* City:

* State:

* Zip Code:

* Phone:

- - X

* Email:

Do you have more than 2 Shipto Addresses:

Submit