Business Name

Billing Address 

Phone    Fax    Website 

Shipping Address 

Check box for multiple shipping locations

Buyer Name 

Buyer Phone    Buyer Fax 

Buyer Email   

AP Contact Name 

AP Contact  Phone    AP Contact Fax 

AP Contact Email     Email all invoices for payment to this address.

Check Appropriate Tax Exempt Status Box  Taxable Tax Exempt Tax Exempt Status Varies & Will be Noted on PO.

Tax Exempt Number (if Tax Exempt Box Checked) 

Glover's accounting department would like to email your companies invoices for payment.  This is a part of our Glover's Goin' Green program to save paper & ink.  We understand that all companies payment operations vary.  If your company has the capability to have invoices emailed directly to your accounting department please participate by checking the box and entering an email address.  Thank you. 

Please check this box if you would like information on EFT (Electronic Funds Transfer) payments. 

FINANCE CHARGE:  Note that Glover will now charge a 1 1/2% per month interest on invoices outstanding more than 30 days.  If an account accumulates any collection agency fees or legal fees in an attempt to collect a debt these fees will be the responsibility of the buyer.