GTG Vendor Application Form

Quick Pay Discount
Do you offer discounts for quick pay?*

YesNo
Enter discount percentage
Number of days an invoice my be paid in to receive the discount

Contact Information
Accounts Receivable Contact Name*

First NameLast Name
Accounts Receivable Email*
example@example.com
Accounts Receivable Phone Number*
Please enter a valid phone number.
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.
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

Document Upload
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*

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