GTG Vendor Application Form

- Do you offer discounts for quick pay?
- Enter discount percentage
- Number of days an invoice may be paid in to receive the discount
- Accounts Receivable Contact Name
  
  First NameLast Name
- Accounts Receivable Email
  example@example.com
- Accounts Receivable Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Please provide an phone extension for the Accounts Receivable, if applicable
- Estimator Name
  
  First NameLast Name
- Estimator Email
  example@example.com
- Estimator's Direct Phone Number or Cell Phone
  Please enter a valid phone number.Format: (000) 000-0000.
- One representative for your company must be selected as the DocuSign Signatory contact. This is the individual who can execute contracts, purchase orders, and sign for other important documents. We require only ONE contact. If there are multiple individuals, we ask that your designated contact distribute the document for signatures internally in your organization as needed.
- DocuSign Signatory Name
  
  First NameLast Name
- DocuSign Signatory Email
  example@example.com
- Please be advised that we must have the below documents on file. You may submit them via:
  - Upload here in the form
  - Email to vendordocs@grindertaber.com
  - Mail to 1919 Lynnfield Rd. Memphis TN, 38111
  Please provide the following:
  1. Current completed W-9 form (update annually by January 31st)
  2. Current copy of your business license OR current contractor’s license, whichever applies.
  3. Current MWBE certificate, if applicable
  4. Project-specific SDS (Safety Data Sheets) information for all products
  5. If you are a subcontractor, the following is also required: a current blanket certificate of liability insurance to include the General Liability and Worker’s Compensation policy expiration dates.
  Example documents can be found on our website at www.grindertaber.com/vendors
- Current W-9
  
  Cancelof
- Current Business License or Contractor's License
  
  Cancelof
- Current General Liability, Worker's Compensation, and/or Auto Liability Insurance
  
  Cancelof
- Current MWBE Certificates (if certified)
  
  Cancelof
- Project Specific Safety Data Sheets
  
  If your file sizes are too large, you may need to email them to vendordocs@grindertaber.com
  Cancelof
- Pollution Insurance (if your business performs work which requires this type of insurance policy)
  
  Cancelof
- ALL VENDORS ARE ADVISED THAT THEY WILL NOT RECEIVE PAYMENT FOR SERVICES RENDERED UNLESS ALL REQUESTED DOCUMENTATION HAS BEEN RECEIVED AND VERIFIED FOR COMPLIANCE BY THE GTG ADMINISTRATIVE TEAM.
  
  Please sign to acknowledge that you read the disclosure and verify that the information you provided in this form is valid.
- Signature
- Should be Empty:

GTG Vendor Registration Form

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