Grainger account forms are used to create an online account with Grainger, one of the world's largest distributors of industrial supplies. The form is simple and easy to use, and only takes a few minutes to complete. Once the form is submitted, you will be able to access your account and place orders online. The form can be found on the Grainger website at www.grainger.com/register.aspx.
If you need to first understand how much time you will need to fill out the grainger account form and what number of pages it has, here is some detailed data that might be of use.
| Question | Answer |
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| Form Name | Grainger Account Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | grainger net 30 account, apply for grainger net 30, grainger business account, grainger credit card |
Customer Account Form
S E C T I O N 1
Company Name (Doing Business As) |
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Full Legal Business Name |
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Address |
{Cannot be a PO box} |
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Address |
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City |
State |
Zip Code |
County/District |
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Telephone Number |
Fax Number |
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Email Address |
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Billing Address {If different from above} |
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State |
Zip Code |
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Owner |
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Date Business Established |
No. of |
Employees: ■ |
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■ 50+ |
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Please Check the following: |
■ Desire to do business on a cash basis. Transactions by cash, company check, Am Exp, MasterCard or Visa Card |
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■ Up to $1,000 credit |
Will you be purchasing items exempt from sales taxes? |
■ Yes |
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■ No |
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Federal Taxpayer |
Identification # |
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SS# (Optional) |
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Business Type/ Legal Structure: (Please check all that apply) |
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■ Corporation |
■ Franchise |
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■ School |
■ Federal Government ■ State Government |
■ Local Government |
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■ Hospital ■ Religious Organization ■ Partnership/Proprietorship |
■ Sub S |
■ Limited Liability |
■ Contractor |
■ Other |
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S E C T I O N 2
Do you have a Parent Company? ■ Yes (If Yes, continue to Section 2) |
■ No (If No, move to Section 4) |
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Parent Company Name (Division or Sub) |
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Telephone |
Fax Number |
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Address |
City |
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State |
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Zip Code |
Is Parent Company responsible for payment of bills? ■ Yes |
■ No |
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S E C T I O N 3
Please fill out the following information for open account billing for over $1,000.00
Desired credit (if more than $1,000)
Bank References: (Please Complete Entire Section)
Bank Name
Address |
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City |
State |
Zip Code |
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Telephone Number |
Fax Number |
Checking Account # |
Loan Account # |
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Customer Trade References: (Commercial & Industrial Trade Vendors with open account status only)
Name |
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Address |
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City |
State |
Zip Code |
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Telephone Number |
Fax Number |
Account Number |
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Name |
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Address |
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City |
State |
Zip Code |
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Telephone Number |
Fax Number |
Account Number |
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S E C T I O N 4
The undersigned agrees that all purchases of product from Grainger will be governed by Grainger’s standard terms and conditions of sale as contained in its catalog and website. Any modification of such terms or any additional terms will not be binding upon Grainger unless they are in writing and signed by Grainger. Any credit extended by Grainger to the undersigned and the limits of such credit shall be at Grainger’s sole discretion and may be reduced or revoked by Grainger at any time and for any or no reason. Should Grainger approve this application, I {we} agree to pay for all goods purchased within thirty {30} days of receipt of order. W.W. Grainger, Inc., is authorized to contact any references or banks listed above. It is understood that any information so obtained will be used solely for the granting of credit. Should it become necessary to collect this account by legal proceedings or otherwise, THE UNDERSIGNED, INCLUDING ENDORSERS, PROMISES TO PAY ALL COST OF COLLECTION, INCLUDING REASONABLE ATTORNEY’S FEES.
Authorized Signature (Required) |
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Date |
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Please Print Name and Title
Please fax to your local branch. Use our Find A Branch on grainger.com to locate your nearest branch.
Internal Use Only |
Account Number |
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Branch Number |
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CSA Name |
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Verification Method |
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■ Forward to ACFO |
■ Tax Card sent to applicant |
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