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 specic 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