EmailMe Form - Vendor Prepayment Request

Vendor Information

Vendor Name *

Vendor Phone

### - ### - ####

Vendor Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Vendor Contact Name

First Last

Vendor's Order Number

Is this Prepayment for postage?

Yes

No

POSTAGE PREPAYMENT? - If this is for a Postage Prepayment, Postage needs to be invoiced to YOUR CLIENT AT THE TIME OF PREPAYMENT TO YOUR MAILING VENDOR. Please make sure you have a separate line item in your Purchase Order for postage.

Postage Pay to the order of:

Customer Information

Customer Name

Customer ID

Is this client currently insured?

Yes

No

Purchase Order Information

In order to proceed with the order, the vendor has requested prepayment toward the cost in the amount of:

Pre-payment Amount Requested $$ *

Please note that no more than 50% of your total cost of goods will be pre-paid in advance of production. This policy will ensure your product is produced correctly and meets your specifications.

IMPORTANT INFORMATION:
For any sale that is greater than $10,000.00 you will need to insure your client. Fill out the Bad Debt Insurance Request Form Insurance requests can take from 24-48 hours to get confirmation back if your client is insurable.

I anticipate the total cost to be approximately $ *

Purchase Order Number *

ERP System

EQD (Quantum)

Antera

Estimated Ship Date *

Requested Method of Payment

Vendor Invoice Upload
Fwd Email instructions

Upload your vendor's prepay forms or vendors invoice if you have it.

IMPORTANT
To ensure the quick, timely and smooth processing of your vendor prepays, we kindly request that you directly forward the email containing the proforma invoice, credit card form, ACH instructions, or payment links received from the vendor to ap@TheAmpersandGroup.com

Attaching the invoice to the prepay forms does not typically include the necessary payment links that are part of the vendor’s email.

Please refrain from copying the invoice to a new email as this also does not attach the link; simply forward the original email.

This will also provide us with the vendor's contact information in case there are any questions when we reach out to them.

Payment must be received by date:

Notes to Ampersand:

Member Information

Any cost of special delivery (i.e.: overnight check) will be charged to the cost of the order.

I understand and agree that by submitting this document as a member of The Ampersand Group and under the terms of my service agreement I will be held financially responsible for the amount of this prepayment and any additional costs incurred in the event of nonpayment by the customer.

Member ID: *

Date Time

MM / DD / YYYY

Member Email Address *

I can be reached at (Phone Number) for any questions:

### - ### - ####

Instructions

Your Purchase Order must be created in the system before completing this form.

No prepayment will be made if Purchase Order is not in the system.

To Print

Choose File > Print to print a copy of this form before you submit.