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+<!DOCTYPE html>
+<html lang="en">
+<head>
+  <meta name="generator" content="HTML Tidy for HTML5 for Mac OS X version 5.4.0">
+  <title>It's easy to find the Office Supplies, Copy Paper,
+  Furniture, Ink, Toner, Cleaning Products, Electronics and the
+  Technology you need | Staples®</title>
+  <meta content="checkout" name="PageName">
+  <meta content="IE=edge,chrome=1" http-equiv="X-UA-Compatible">
+  <meta content="noindex,follow" name="robots">
+  <meta content="Shop Staples® for everyday low prices and get everything you need for a home office or business. Staples Rewards� members get free shipping every day and up to 5% back in rewards, some exclusions apply."
+  name="description">
+  <meta name="viewport" content="width=null, initial-scale=1">
+  <meta http-equiv="Content-Type" content="text/html; charset=utf-8">
+  <meta http-equiv="x-dns-prefetch-control" content="on">
+  <meta http-equiv="content-language" content="en-us">
+</head>
+<body>
+  <form>
+    <input name="hidden" type="text">
+    <div>
+      <div>
+        <div>
+          <label for="firstName">
+<span>First Name</span>
+          <span>*</span>
+</label>
+<br>
+          <input name="firstName" maxlength="40" placeholder=""
+          type="text">
+        </div>
+      </div>
+      <div>
+        <div>
+          <label for="lastName">
+<span>Last
+          Name</span>
+<span>*</span>
+</label>
+<br>
+          <input name="lastName" maxlength="40" placeholder=""
+          type="text">
+        </div>
+      </div>
+      <div>
+        <div>
+          <div>
+            <div>
+              <label for="address1">Shipping
+              Address<span>*</span>
+</label>
+<br>
+              <input name="address1" maxlength="35" placeholder=""
+              id="oneAutoComplete" type="text">
+            </div>
+          </div>
+        </div>
+      </div>
+      <div>
+        <div>
+          <label for="emailId">
+<span>Email
+          Address</span>
+<span>*</span>
+</label>
+<br>
+          <input name="emailId" maxlength="80" placeholder="" type="text">
+        </div>
+      </div>
+      <div>
+        <div>
+          <label for="phoneNo">
+<span>Phone</span>
+<span>*</span>
+</label>
+<br>
+          <input name="phoneNo" type="text">
+        </div>
+      </div>
+      <div>
+        <div>
+          <label for="phoneEx">
+<span>Extn.</span>
+</label>
+<br>
+          <input name="phoneEx" maxlength="6" placeholder="" type="text">
+        </div>
+      </div>
+      <div>
+        <div>
+          <label for="companyName">
+<span>Company Name
+          (optional)</span>
+</label>
+<br>
+          <input name="companyName" maxlength="50" placeholder=""
+          type="text">
+        </div>
+      </div>
+      <div>
+        <div>
+          <div tabindex="0">
+            <label>Email me exclusive offers & deals from
+            Staples</label>
+<input value="true" name="isEmailOfferChecked" type="hidden">
+          </div>
+        </div>
+      </div>
+      <div>
+        <div>
+          <button type="submit">continue</button>
+        </div>
+      </div>
+    </div>
+  </form>
+</body>
+</html>