Randy's Hardware, Inc.

PO Box 1122
14064 Timberway
Timberville, VA 22853
Phone: (540) 896-5403

Pro Account Agreement

General Information

Business/Individual Name:*

Billing Address:*

Street Address

Street Address Line 2

CityState

Zip Code

Physical Address is the same as Billing Address

Physical Address:*

Street Address

Street Address Line 2

CityState

Zip Code

Phone Number:*

Area CodePhone Number

E-mail:*

example@example.com

Federal ID #:*

SSN:*

Type:*

Please Upload a Copy of the Business or Contractor License. *

Date Business Established:*

Date

Contact Name*

Title:*

Bank Name:*

Bank Representative:*

Account #:*

Bank Phone Number*

Area CodePhone Number

Credit References

Credit Reference 1:*


Full Name
Street Address
City & Zip
Contact number
Length of Relationship

Credit Reference 2:*


Full Name
Street Address
City & Zip
Contact number
Length of Relationship

Credit Reference 3:


Full Name
Street Address
City & Zip
Contact number
Length of Relationship

Credit Reference 4:


Full Name
Street Address
City & Zip
Contact number
Length of Relationship

Your Company Information

Purchasing Contact Name:*

Payables Contact Name:*

P.O. Required?*

YesNo

Tax Exempt?*

YesNo

Please Upload Tax Exemption Form:*

If yes, please attach tax exempt form.

List of Names of Authorized Purchasers: (Please separate with commas)*

Terms and Conditions

Please review the following terms before submitting your Pro Account application. By applying for a Pro Account with Randy’s Hardware, you acknowledge and agree to these terms.

Account Requirements
• Account balances must remain current in accordance with the billing terms provided at approval.
• A valid business or contractor license must be on file with Randy’s Hardware to qualify for Pro account pricing and discounts.
• Pro accounts cannot be linked to a Randy’s Rewards account.
• Account statements will be delivered electronically via email only.

Discounts & Benefits
• A standard 5% Pro discount will be applied at the register on eligible purchases.
• An additional promotional 5% discount will be applied at the register for the first six (6) months from account approval.
• Promotional discounts are limited-time offers and may be changed or discontinued as permitted by law.
• No other discounts may be combined with Pro account pricing unless expressly stated in writing by Randy’s Hardware.
• Complimentary in-store advertising opportunities may be available to Pro account holders. Availability, placement, and duration are determined by Randy’s Hardware. (For details, contact sarah@randyshardware.com.)

Account Status
Accounts that become past due may have purchasing privileges, discounts, or other Pro account benefits suspended or revoked until the account is brought current.
Changes to Terms or Program
Randy’s Hardware reserves the right to modify, update, suspend, or discontinue the Pro Account program, including terms, discounts, benefits, and eligibility requirements, at any time, as permitted by law. Any changes will be communicated in advance and will apply to future purchases and account activity as described in the notice.

Acceptance of Terms
By submitting a Pro Account application, you acknowledge that you have read, understand, and agree to these Terms & Conditions.

Agreement:
In consideration for granting of credit by Randy's Do It Best Hardware (RDIB), we (I) agree that the information provided herein is accurate and that RDIB will rely on said information in granting crediting. If this application is approved and credit is extended by RDIB, we (I) are (am) to pay according to the terms of this agreement; terms being net 15th - full balance due on or before the 15th of the month following the last day of the month in the billing period. We agree to pay interest of 1.5% per month should our account become delinquent and to pay all cost of collection, including reasonable attorney's fees.

Signed and dated by the Applicant, Authorized Agent, or Representative:

Signature*

Date*

Date

Or Upload Signature

Show Upload Box

Please Upload Signature:*