If you're interested in signing up as a Kauffman's dealer, please fill out the form below.

Your Name(Required)

First Last

Your Business Name(Required)

Email(Required)

Phone(Required)

Your Company Website

Your Address(Required)

Street Address Address Line 2 City State ZIP Code

How old is your business?(Required)

Summarize the products you sell or services you offer.(Required)

Are there products or services that you specialize in?

Do you resell other industry products, or build most products yourself?

Summarize your vision for customer satisfaction and how you achieve that.(Required)

What is your typical annual gross revenue?

How did you hear about us?(Required)

Why do you think our company and products are a good fit for your business?(Required)

Any additional questions and comments?