FindARep - Kimball Midwest

QUICK ORDER PAD

To place an order, please login or register.

New Customer Registration

Please enter all of the information below before hitting the "Register" button. Once your request has been reviewed, you will be contacted about starting an account with Kimball Midwest.

If you would prefer to register over the phone, please call 1-800-214-9440, Monday through Friday, 8:00 a.m. through 5:00 p.m. Eastern Daylight Time.

Fields with an ( * ) are required to properly process your registration request.

Company / Contact Information

Company Name:

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Business Type:

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Your Name:

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Email Address:

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Phone Number:

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Ext.:

Fax Number:

TCPN Eligible:

* Who has TCPN eligibility?

Preferred Username:

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Password:

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Billing Address

Street Address:

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City:

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State:

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Zip Code:

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Use my billing address as my shipping address.

Shipping Address

Street Address:

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City:

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State:

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Zip Code:

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