EmailMe Form - Home Depot Customer Program Registration

Date
MM / DD / YYYY
Name or Company that should appear on Rebate check.
Name
First Last
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Email
Primary Phone
### - ### - ####
Fax
### - ### - ####
User Name (at least 8 characters)
Registration Code
Local Chapter
What Happens Now?
The Home Depot will contact you to register your payment tenders. You may register any credit, debit card or checking account. Participation in The Home Depot Rebate Program requires and email address. You are authorizing The Home Depot to send you email communications on your rebate status, program updates and special offers. Membership in RICH is required to receive your rebate check.