If you are a new customer, please fill in the following information.
* These fields must be completed in order to proceed.
Customer Information
*
First Name:
*
Last Name:
*
Title:
*
Email:
*
Phone #:
Fax:
Website Address:
*
Primary Business:
Billing Address
*
Company Name:
*
Attn:
*
Address 1:
Address 2:
*
City:
State:
*
Zip:
*
Country:
*
Payment Method
Prepayment
Credit Card
Money Order/Check
Wire Transfer
Line of Credit
Net 30 Days
Complete our
Credit Approval Form
and fax it to us.
(PDF Download)
How did you hear about us?
Refered by:
Internet Search Engine (specify):
Trade Show (specify name):
Magazine (specify name):
Name found on locks
Kenstan mailing
If applicable, please fax a copy of your tax exemption/ resale certificate to 516-576-0100.
A Kenstan customer service representative will call you.
