New Client Form

Welcome! Please Fill Out the Form Below to Let Us Know More About You

Contact Information

Legal Company Name(Required)

Company Phone(Required)

Company Fax

Billing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Location of work being done (if different from billing address)

Main Contact

Name(Required)

Email(Required)

Phone(Required)

Position(Required)

Accounts Payable Contact

Name(Required)

Phone(Required)

Fax

Email Address (to send invoices and statements to)(Required)

Additional Contact

Name

Phone

Fax

Tax Information

Are you tax exempt?(Required)

Yes

Tax Exempt Certificate

Max. file size: 128 MB.

IF YOU ARE TAX EXEMPT PLEASE PROVIDE A COPY OF YOUR TAX EXEMPTION CERTIFICATE

Business Information

How many years have you been in business?(Required)

Industry(Required)

Number Of Employees(Required)

**If Industry Is Other, Please Enter Here**

Do you require a Purchase order on your invoices?(Required)

Yes

Authorized Digital Signature(Required)

Date(Required)

Sales Person you're working with at KT Connections(Required)

Managed IT

Security Solutions

Business Communications

IT Support

Cloud Solutions

About Us

Why KT Connections?

Resources

Career Opportunities

Locations