Customer Detail Form


This form will be sent when the customer has contacted Kennard & Kennard and has given a very strong indication that they would like to buy something. K&K still need customer details, as covered by this sheet. To save them from refilling the registration page, this form should be sent.
  • Business Name
  • First Name of Owner/Manager
  • Last Name of Owner/Manager
  • Billing Address
  • Postal Address
  • Please include area code
  • Please place your website here (if applicable)
  • ABN Queries? Contact us on 1800 641 901
  • How long has the business been operating?
  • Hours of Trading Eg. 9am - 5pm
  • Delivery Instructions
  • What is the nature of your business?
  • Please indicate your estimated order volume.
  • I would like to receive Kennard & Kennard Email Newsletters
  • Please create Strong Password - Mix of Alpha, Numeric and Non-alphanumeric characters
    Strength indicator
  • If you have any problems when using this form, please contact us on 1800 641 901 to speak to our friendly customer service team.
  • This field is for validation purposes and should be left unchanged.

Please Download and Read our Trading Terms & Conditons

Printable customer detail form – If you prefer to enter your information on this PDF, simply fill it in and return by post, fax or email to