Form 1 ‒ Use this form to:
•  REGISTER WITH THE PEPPM PURCHASING COOPERATIVE
•  CONNECT TO PEPPM’S CONTRACT WITH AMAZON BUSINESS

To enjoy access to PEPPM.org, contract documentation, reports, and your own personal dashboard, PEPPM eligible buyers must register and affiliate with a qualified education agency, charter school, public agency, or non-profit organization.

Registration is free. Just complete the registration form below and submit. All registrants will be vetted. You will be notified when your application has been approved — usually within one business day.

By submitting this form, you are:
1. Requesting free, privileged access to PEPPM.org, its content, and tools
2. Giving authorization to connect your Amazon Business account to the PEPPM competitively bid contract with Amazon Business

 I authorize Amazon Business to connect my account to
    PEPPM's Bid-Protected Contract with Amazon Business

I already have an Amazon Business account. My email
    registered with Amazon Business is entered immediately below.

   

    The following information will be used to create your PEPPM account and enable your website access.

*Required Field

State/Province* Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

County*

Organization Type* Charter School City or Town Community College County Government Early Childhood Organization Federal Government Intermediate Agency Joint Powers Authorities Library Non-Profit Agency Other Private School Private University Public School District Public University Special Districts State Government

Agency Website*

Agency Name

Your Organization Type*

Other: Agency Name*

First Name*

Last Name*

Job Title* Chief Administrative Officer Chief Business Officer Chief Financial Officer Chief Operations Officer Director of Finance Director of Fiscal Services Director of Purchasing Director of Technology Superintendent Buyer Principal Department Head Teacher/Professor Support Staff City Manager Other

Agency Address 1*

Agency Address 2

City*

Zip/Postal Code*

Country* United States

Phone Number*

Work Email Address*

Your Supervisor First Name *

Your Supervisor Last Name*

Your Supervisor Title*

Your Supervisor Phone*

Your Supervisor Email*

T and c version*

 Check here to use Work Email Address for Username.

User login name

Username*

Password

• Password must be at least 9 characters
• It cannot be entirely numerical
• It cannot be a common password

Password*

Password confirmation*

Buyer Terms and Conditions: Please review our Terms and Conditions and indicate your acceptance by checking the “I accept” box below. If you do not accept these Terms and Conditions, you will not be able to register, but you can enjoy using the website as a guest without access to pricing and tailored content.

I accept PEPPM Terms and Conditions*

Leave this field empty

Apply

Upon submitting this application, you will:
A) Receive an email asking you to verify your email address
B) Be directed to Amazon Business so you can create your Amazon Business account, if applicable
C) Be contacted by a dedicated Amazon Business Customer Advisor to set up your account
D) Receive a notice from Epylon Corporation about your approval status with PEPPM