Kaboomracks Intake

Please complete this form to register as a Kaboomracks customer.

First Name (Given Name) *

Last Name/Surname *

Telegram Username @username

Are you making your order in the name of a Company, or personally in your name? *
In the name of a company
In my name

Your company's info

Full Legal Company Name please include the suffix for the type of entity, such as Inc or LLC

In what State/Province are you (or your company) based in?

Country

Are you a registered tax-exempt reseller (or tax exempt for a different reason?) *
Yes
No

Contact Information

What email address would you like to receive an invoice at? *

Billing Address

Street Address *

Street Address Line 2

City *

State / Province *

Postal / Zip Code *

Country *

Your Phone Number for General Inquires (including country code) *

Please provide a cell phone number at which you'd like to receive SMS tracking updates.

Shipping Information

Delivery address same as billing address

Delivery Address

Street Address *

Street Address Line 2

City *

State / Province *

Postal / Zip Code *

Country *

Earliest Hour for the Delivery Truck to Arrive on Weekdays *

Latest Hour for the Delivery Truck to Arrive on Weekdays *

Is the delivery location commercially-zoned, or is it a house or residence? *
Commercial
Residential

Please specify if the recieving location has the equipment/facilities to unload the freight from the delivery truck: *
The building at the destination has a loading dock at trailer-height.
The building at the destination has a useable forklift with an authorized operator to lower the freight to ground level.
The receiving party needs a liftgate to lower the freight to ground level.
The receiving location can only receive parcels (no pallet freight)

Delivery Contact Full Name and Phone Number

Should we use the same phone number that you provided above for General Inquires to contacting you about shipping or Delivery? (or should a different phone number such as the number of a warehouse or operations manager be used?) *
Please use the Same Phone Number as before I specified for General Inquiries
Use a different phone number to contact my company to confirm/arrange final Delivery of my Order at the Receiving Site

Do you have any questions?

We are here to answer it!