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User Id Request Form
The following information will be emailed to Keeton's Online support and a representative will contact you with your login information as soon as possible. 
Important: If you would like to order online from Keeton's, you MUST have an account set up with us. If you do not have an account, Open an account with Keeton's today! Thank you.


Required fields in red

Do you currently have an open account with
Keeton's Office Supply?

Yes No  If no, please Open an account with Keeton's today!

Please provide the following information:

First Name
Last Name
Company Name
Account Number if known
Department if needed
Street Address
Address (cont.)
City
State
Zip Code
Phone
 Phone Ext. if needed
FAX
Email


Do you require Purchase Order numbers on ALL orders?

No Yes


Would you like to use a credit card to pay for your ONLINE orders?

If yes, for security reasons, we will contact you for your credit card information.

No Yes
Note: If you wish to pay for ALL of your orders with a credit card, and you provide
 us with your credit card information, you will NOT have to re-enter this information
 on every order. If you use this option, your credit card will be charged
 automatically for ALL orders.

Keeton's Online Ordering is a VeriSign Secure Site.

Please enter any additional comments below:




You will be provided with a User ID and a Temporary Password.
This information will be emailed to you unless no email address is provided,
in which case we will call you with your login information. Thank You.

 
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Phone: 1-800-833-4735 | Fax: 1-800-833-4786