New Account Form

Business Legal Name *

DBA (Doing Business As - If Applicable)

Billing Address *

Please Specifies Address, City, State, and Zipcode

Shipping Address *

Please Specifies Address, City, State, and Zipcode

Primary Contact Full Name *

Phone *

Title

Contact Email

Ownership Information

Ownership Type (CheckOne) *

Parent Company (if applicable)

Accounts & Payment Information

Business Type *

Accounts Payable Email *

Accounts Payable Contact Name *

Purchasing Department Email *

Tax ID (EIN) *

Do you have a Resale Tax Certificate (If yes attach below)

Yes

Upload SunBiz Info together with Resale Tax Certificate(If Applicable Attach Copy)

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF ( max 5 Files )sunbiz_info

Enter the emails of those who should receive sales promotions

Primary Email *

If you have multiple emails please click here for another form but make sure to submit this one first before filling out the other form

Multiple Shipping Locations (if applicable)

Is this a multi-location account? *

Yes

Please list additional shipping locations or attach a separate document only if each location has a different company name

Shipping 1
Shipping 2
Shipping 3

Please Specifies Address, City, State, and Zipcode

Sales Representative Information

Account Representative *

Authorization & Signature

By signing below, I confirm that the information provided is accurate and that I agree to the terms and conditions set forth by Ribadao Lumber & Flooring.

Authorized Signer Name (Printed) *

Signature Person's Title *

Signature *

Clear

Signature Date *

Acknowledgement

By signing below, I confirm that the information provided is accurate and that I agree to the terms and conditions set forth by Ribadao Lumber & Flooring.

By checking this box, I consent to receive transactional messages related to my account, orders, or services I have requested. These messages may include appointment reminders, order confirmations, and account notifications among others. Message frequency may vary. Message & Data rates may apply.Reply HELP for help or STOP to opt-out.

By checking this box, I consent to receive marketing and promotional messages, including special offers, discounts, new product updates among others. Message frequency may vary. Message & Data rates may apply. Reply HELP for help or STOP to opt-out.