Business Information

* Company Name Company DBA
* Telephone Number Fax Number

Physical Address Mailing Address
* Address * Address
* City * City
* State * State
* Zip Code * Zip Code

Company Information

* Date Business Commenced
* Company Type
* Company D&B Number * Federal Tax ID Number

Billing Information Purchasing Information
* Primary Contact Name * Primary Contact Name
* Primary Email * Primary Email
* Primary Phone Number * Primary Phone Number
* Email Address to Send Invoices to

Sales And Use Tax/h1>

In compliance with Sales and Use Tax Laws, all Resellers must provide their tax exempt information to Kendall Howard. It is understood that all purchases from Kendall Howard are for resale only. Any Use Tax incurred by the reseller is the sole responsibility of the reseller
Federal Tax ID Number.
State Tax ID Number

Business/Trade References

You may email a separate trade reference sheet to If you do not have a seperate trade reference sheet, please complete all trade reference fields below to minimize delays in processing your application.
Trade Reference 1
City, State, Zip Code
Contact Person
Trade Reference 2
City, State, Zip Code
Contact Person
Trade Reference 3
City, State, Zip Code
Contact Person

Sales and Payment Information

* What is your annual sales volume in US dollars?
* Requested Terms

General Information

* What brought you to Kendall Howard? How did you hear about us? * Have you used Kendall Howard products in the past?
* What is your primary business? * What vertical markets do you serve?
* What geographical area do you primarily serve?

Competitor Information

* Do you currently sell products similar to Kendall Howard? If yes, what lines do you offer?
* What annual dollar value do these lines produce?

Website Information

* Do you have a website? If yes, what is the web address?
* Do you sell products online? * Do you plan to sell Kendall Howard products on your website?

Sales Information

* Do you have an inside sales staff? If yes, how many members?
* Do you have an outside sales staff? If yes, how many members?
* What is your estimated annual Kendall Howard sales volume?

Marketing Information

* Do you exhibit at trade shows? If yes, how many and which shows?
* What other types of marketing do you do?

Other Information

Please provide any additional information that should be considered while reviewing this application.

The statements and information provided in this application, and any attached documents, are true and complete to the best of my knowledge. I also understand the following: Information submitted in this application will be treated discreetly by Kendall Howard. Inaccurate and/or false information may be grounds for Kendall Howard to terminate any future contractual agreements. Kendall Howard may contact any person or business outlined in this application for the purpose of verifying the information submitted. Kendall Howard may obtain a credit report through a credit reporting company chosen by Kendall Howard.
* Name * Title
* Date * Initials for authorization