New Customer Form

Business Name(Required)

DBA (if applicable)

Business Phone(Required)

Primary Contact(Required)

First Last

Title

Primary Email(Required)

Additional Email

Shipping Address(Required)

Street Address Address Line 2 City State ZIP Code

Shipping Address is the Same as Billing(Required)

Yes

Billing Address(Required)

Street Address Address Line 2 City State ZIP Code

Additional Email Contacts, List up to 3 people

Additional Contact 1

First Name

Last Name

Title

Additional Contact 2

First Name

Last Name

Title

Additional Contact 3

First Name

Last Name

Title

Would you like to apply for Net Terms with Kristin & Company? If yes, a customer service team member will contact you.(Required)

Yes

Would you like to place a credit card on your account for automatic payment, held in our secure digital vault? If yes, a customer service team member will contact you.(Required)

Yes

Are your purchases from Kristin & Company tax-exempt?(Required)

Yes

We must have a valid tax certificate on file to ensure compliance with applicable state and federal law. Until we have a tax exempt certificate on file that meets criteria, we are legally required to charge sales tax.

Upload Your tax certificate now

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Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 256 MB.

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