Membership Application Form

PowerBuy 4 You is pleased to present our Discount Purchasing Program to you. This program is designed to deliver our unparalleled product breadth, with special savings and discounts through PowerBuy 4 You that are only available to our Members.

  1. Please fill out the enrollment form below, to be considered to be a participating Member of the PowerBuy 4 You Discount Program.
  2. Upon acceptance to the Discount Program you will receive vendor discounts.
  3. PowerBuy 4 You and "Member" agree to keep the terms and conditions of this Agreement confidential and shall not share any of the information contained herein, including, but not limited to, Product pricing, with any third party.

Please Check the Vendors Your Interested in Using...

  • Act Telecom Inc.
  • Aerotek
  • Atomic Coffee Media
  • Bubrick's Complete Office
  • Continental Carbonic Products, Inc.
  • Fisher Scientific
  • Fusion Logistics
  • Grainger Industrial Supply
  • LabTech Midwest (A Division of PSA LabTech, Inc.)
  • Microbix Biosystems
  • Providence Packaging
  • PSA Laboratory Furniture and Fume Hoods
  • Restaino & Associates, Relocation Division
  • SciGraphic
  • Spectrum Resources
  • Your Info...

    By checking this box, I certify that I am an authorized representative of the company. I also understand that this Membership Application does not contractually bind the company to any express contract with PowerBuy 4 You nor any of its Vendor Partners. Upon review of this application, PowerBuy 4 You will contact you to confirm the membership application determination. By checking this box I understand that no enrollment fees, monthly maintenance fees, or cancellation fees of any sort will be charged by PowerBuy 4 You, or its vendor partners. I also understand that this is an "at-will vendor relationship", and membership in PowerBuy 4 You can be cancelled at any time by email notification to info@powerbuy4you.com