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Welcome Manatee County Government
and Clerk of the Circuit Court Employees

Please provide the following information. This information will be emailed to Keeton's
and an Online Support representative will email your login information back to you as
soon as possible. Note: If you will be ordering for more than one delivery location,
please enter your primary location below and make a note in the Comments field
at the bottom of this form and we will contact you to get the additional addresses.
Thank you.


First Name
Last Name
Department Name
Division
Shipping Address
Floor/Suite
City
Zip Code
Phone
 Phone Ext.
if needed
Email

P-Card information: For security reasons, please DO NOT provide any P-Card information on this form. Per Manatee County policy, P-Card holders are required to enter their P-Card information at the time of purchase. Vendors are not supposed to store Manatee County P-Card information.

KOL2
(Keeton's Online Ordering Site) is a VeriSign Secure Site.


Please enter any additional comments below:




Thank you.

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Phone: 1.800.833.4735   Fax: 1.800.833.4786