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Grainger Account Sign-Up: Contract Participation Form

All National IPA Participating Public Agencies must (i) affiliate with National IPA and (ii) complete this on-line Grainger Contract Participation Form ("Contract Participation Form"). If your agency or organization has not yet affiliated with National IPA, please go to http://www.nationalipa.org/participate.html and fill out the requested information.

 

This Contract Participation Form is required by Grainger to insure that Participating Public Agencies receive all of the benefits of Master Agreement #141003 by and between the City of Tucson and Grainger ("MRO Contract"). The process is easy and can be completed in a few minutes. Simply complete the requested information below and submit the request.

 

The National IPA Participating Public Agency acknowledges that it may elect to participate in only one (1) Grainger catalog-wide agreement at any given time, and hereby agrees to purchase MRO equipment and supplies in accordance with the MRO Contract. The Participating Public agency further understands that this Contract Participation Form and the above referenced MRO Contract supersedes all previous declarations for the purchase of product from Grainger.

 

The Participating Public Agency further understands that enrollment will remain in effect during the MRO Contract term, including any Contract extensions, unless earlier terminated pursuant to the MRO Contract.

 

By submitting this Contract Participation Form, the Participating Public Agency is requesting that all Participating Public Agency accounts be enrolled under the MRO Contract , and upon Grainger's receipt and processing of this Contract Participation Form, Grainger will enroll all Participating Public Agency accounts under the MRO Contract.

Processing this form may take up to 4 to 7 business days.



If you have any questions about this Contract Participation Form or the MRO Contract, please contact your local Grainger Account Manager.

Asterisk (*) indicates required information.

 
*Participating Public Agency Name:
*National IPA Member ID#:
*Applicant First Name:
*Applicant Last Name:
*Applicant Title
*Address 1
*City
*State
*Zip
*Phone Number
*Email Address
Please list your existing
Grainger Account(s) (if known):