Please complete this worksheet to request The Home Depot ProPurchase card(s). Once the worksheet is complete, please call 800.401.7299 to speak to a Home
Depot ProPurchase customer service representative, or email your worksheet to THDProPurchase@interlinebrands.com to complete the set up process.
Card Contact Individual
(Required):
The card owner or individual
who controls and is responsible
for the specic card.
Card Spending Limit
(Optional):
A weekly or monthly maximum
dollar spend amount can be set
for each card.
Card Nickname (Optional):
The name on the card can be customized to t your
needs, up to 26 characters. For example, “Property 1”,
“Property 2”. Please note: If no Nickname is included,
the card will have no text, only a card number.
e-Receipt (Required):
An electronic receipt will be emailed after each
transaction in the store to a designated person
in your organization for visibility to all purchases.
The e-Receipt also serves as a proof of delivery.
CARD REQUEST WORKSHEET
If you are requesting more than ve cards, please use another card request worksheet. Once you have completed the worksheet,
you can email it to THDProPurchase@interlinebrands.com or contact a customer service representative at 800.401.7299.
e-Receipts Email Address ___________________________________________________________________________________________________________________
Name and Title ______________________________________________________________________________________________________________________________
Please provide your name and title to indicate who is requesting cards for your organization.
The Home Depot Pro Account Name __________________________________________ Account Number _____________________________________________
Please provide your The Home Depot Pro account number to use for all Home Depot in store purchases using the card.
CARD 1
Card Contact Individual (Required): ____________________________________________________ Mailing Address* ________________________________________________
Card Spending Limit (Optional): _____________________ Select One: Weekly ____Monthly ____ City ___________________________________________________________
Card Nickname (Optional): ___________________________________________________________ State, Zip ______________________________________________________
c No Nickname/No Text Printed on Card
Card Contact Individual (Required): ____________________________________________________ Mailing Address* ________________________________________________
Card Spending Limit (Optional): _____________________ Select One: Weekly ____Monthly ____ City ___________________________________________________________
Card Nickname (Optional): ___________________________________________________________ State, Zip ______________________________________________________
c No Nickname/No Text Printed on Card
CARD 2
Card Contact Individual (Required): ____________________________________________________ Mailing Address* ________________________________________________
Card Spending Limit (Optional): _____________________ Select One: Weekly ____Monthly ____ City ___________________________________________________________
Card Nickname (Optional): ___________________________________________________________ State, Zip ______________________________________________________
c No Nickname/No Text Printed on Card
CARD 3
Card Contact Individual (Required): ____________________________________________________ Mailing Address* ________________________________________________
Card Spending Limit (Optional): _____________________ Select One: Weekly ____Monthly ____ City ___________________________________________________________
Card Nickname (Optional): ___________________________________________________________ State, Zip ______________________________________________________
c No Nickname/No Text Printed on Card
CARD 4
Card Contact Individual (Required): ____________________________________________________ Mailing Address* ________________________________________________
Card Spending Limit (Optional): _____________________ Select One: Weekly ____Monthly ____ City ___________________________________________________________
Card Nickname (Optional): ___________________________________________________________ State, Zip ______________________________________________________
c No Nickname/No Text Printed on Card
CARD 5
*Card will be mailed to this address in a plain white envelope.
*Card will be mailed to this address in a plain white envelope.
*Card will be mailed to this address in a plain white envelope.
*Card will be mailed to this address in a plain white envelope.
*Card will be mailed to this address in a plain white envelope.
KEY TERMS AND DESCRIPTIONS FOR EACH CARD:
PLEASE COMPLETE THE INFORMATION BELOW:
MPM-11395