Complete this information to receive your free samples
and demonstration of the
Office Depot Single-Cup Coffee System
 In order to better assist you, please complete all fields.

Full Name:
Company Name:
Street Address:
City:
State:
Zip Code:
E-mail Address:
Phone:
7-Digit Source Code:
How many people work at your office?
Are you an existing Office Depot customer?
If yes, please provide your customer account number:
If no, from whom are you currently buying your office supplies:
A sales representative will be contacting you shortly to schedule a free demonstration of the Office Depot/Keurig single cup coffee system and 24 Free cups of coffee. No obligation to purchase system after 24 free cup trial. Office Depot reserves the right to limit quantities. Prices not valid in store or via www.officedepot.com. No cash value. Coffee samples may vary by location. Limit one offer per office or business. Not redeemable for household use. Other restrictions apply, see your sales representative for more details.