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Walmart Bulk Gift Cards: Customer Intake Form

All Bulk Gift Cards account requests take up to three business days for review. If approved for an account, you will receive an email with your account details and information regarding purchasing gift cards through the Bulk Gift Cards program.

If you would like to purchase a small amount of gift cards and do not want to set up a Bulk Gift Cards account, please visit walmart.com/giftcards.

All form fields are required unless otherwise specified.

Are you purchasing gift cards for an organization or yourself?

Select "Individual" if the intent of your gift card purchase is for personal use, such as gift giving, and you are using personal funds. Please complete the form with your name, address, and personal information.
Select "Business" if the gift cards you are intending to purchase will be distributed (as a gift, reward, donation, etc.) on behalf of an organization such as a corporation, small business, or non-profit. Please use the organization’s name, address, and tax identifiable information along with your contact information.

Is this account for a business or an individual?

Contact Information

First Name

Middle Name

Last Name

Name Suffix

Phone Number

Ext.

Job Title

Email

If you wish to make in store purchases, please enter your personal ID information.

ID Type

ID Number

State/Issuer

Expiration Date

Additional Information

Personal Information

First Name

Middle Name

Last Name

Name Suffix

Date of Birth

Phone Number

Physical Mailing Address

Street Address

NOTE: We are unable to accept P.O. Boxes.

Apt., Suite. (Optional)

City

State

Zip/Postal Code

Occupation

Email

Identification

ID Type

ID Number

State/Issuer

Expiration Date

Social Security Number

Additional Information

Intended use of Gift Cards

Were you asked to purchase these gift cards by someone you have never met?

Yes No

Is this account for a business or an individual?

Company Information

Company Name

Physical Mailing Address

Street Address

NOTE: We are unable to accept P.O. Boxes.

Apt., Suite. (Optional)

City

State

Zip/Postal Code

Business License Number

Tax ID number

Type of Business

Number of Employees

Products and Services Offered

Website

Contact Information

First Name

Middle Name

Last Name

Name Suffix

Phone Number

Ext.

Job Title

Email

If you wish to make in store purchases, please enter your personal ID information.

ID Type

ID Number

State/Issuer

Expiration Date

Additional Information

What is your projected annual volume and quantity of Gift Cards purchased?

Intended use of Gift Cards

Will the funds used to purchase these cards come from federal, state, or local government funding sources?

Please explain.

Will the funding be provided in the form of a grant or contract?

Please explain.

Will Walmart be entered into any government vendor or contractor database?

Please explain.

Will purchase orders or any other contracts be imposed upon Walmart?

Please explain.

Personal Information

First Name

Middle Name

Last Name

Name Suffix

Date of Birth

Phone Number

Physical Mailing Address

Street Address

NOTE: We are unable to accept P.O. Boxes.

Apt., Suite. (Optional)

City

State

Zip/Postal Code

Occupation

Email

Identification

ID Type

ID Number

State/Issuer

Expiration Date

Social Security Number

Additional Information

Intended use of Gift Cards

Were you asked to purchase these gift cards by someone you have never met?

Will the funds used to purchase these cards come from federal,
state, or local government funding sources?