EmailMeForm
Business Information Form
for Purchase Order Accounts
Business Name
*
The name of the business submitting purchase orders to us.
Your Name
*
First
Last
Name of person completing this form.
Email address that will be used to submit POs to us
*
This email address will be used for account access on our website. It is also where order confirmation and status updates will be sent.
Each employee whose email address is different than this one will need to complete this form if they are authorized by your company to submit POs.
Purchasing Department Email Address, if different from above
Email address of the purchasing department.
Email address where invoices should be sent.
*
Do not enter your email address unless you are with AP or are otherwise responsible for seeing that this invoice is routed to AP!
We do not waive late fees for invoices that have been misrouted because this information isn't accurate.
Accounts Payable email address, if different from above.
Email address of accounts payable if it is different than the address where invoices need to be sent.
BILLING ADDRESS
Street Address
*
Address Line 2
City
*
State
*
Spell out your state. Do not abbreviate.
Zip + 4
*
Enter as #####-####
Country
*
Select your coutry
US
CA
Business Phone Number
*
###
-
###
-
####
By completing this form, you acknowledge that the information herein is accurate and you are authorized to provide this information on behalf of your organization. You understand our payment terms are Net 30 unless other terms have been agreed upon by us in writing prior to purchasing.
