Dealer Application

By submitting this dealer application, you agree to the terms and conditions listed in the RiverRun Specifications Binder, including: Damage, Finish and Warranty information. You will not hold RiverRun Cabinetry responsible if these characteristics are present or later develop on your cabinetry.

Email(Required)

Legal Business Name(Required)

Business Type(Required)

LLC

CORPORATION

PARTNERSHIP

PROPRIETORSHIP

Tax Information

(Only Required if you have VA Shipping Address) Sales tax will only be assessed on Virginia ship-to addresses. Please forward Form ST-10 if you are exempt in the state of Virginia. If you are in Virginia please select YES below and do not enter a Tax ID number.

Are you VA Tax Exempt?

Yes

No

Tax ID Number(Required)

Main Contact Information

This would be the main contact information for this RiverRun account. Customer Service would contact this person if they have questions regarding an order.

Contact Name(Required)

Contact Email Address (Receives Order Acknowledgements, if multiple separate with semi-colon)(Required)

Contact Phone Number(Required)

Shipping Information

Commercial Dock Required OR two people available (when truck arrives) to unload cabinets.

Shipping Address(Required)

Shipping City(Required)

Shipping State(Required)

Shipping Zip(Required)

Shipping Contact Name(Required)

Shipping Contact Email(Required)

Shipping Contact Phone Number(Required)

Billing Information

Billing Address(Required)

Billing City(Required)

Billing State(Required)

Billing Zip(Required)

Billing Contact Name (Accounts Payable)(Required)

Billing Contact Email(Required)

(This email address will receive invoices. If multiple email addresses are needed, separate with a semi-colon.)

Billing Contact Phone(Required)

Principle Information

Full names of owners or authorized officers

Principle's Full Name & Title(Required)

Principle's Home Address (full address including city, state and zip code)(Required)

Additional Principle's Full Name and Title

If applicable

Additional Principle's Home Address (full address including city, state and zip code)

Additional Questions

These questions are to help us direct customers to your business.

Do you have a showroom?(Required)

Yes, but no plans to add a RiverRun display at this time.

Yes, and I’d like to add a RiverRun display in the next 1-2 months.

No, but plan to add one soon.

Do you have a starter kit?(Required)

No

No, but planning to purchase one as my first order.

Yes

RiverRun Sales Representative's Name (The person that emailed this link to you.)(Required)