Kahala New Customer Form If you are a new Kahala customer, please complete the form below. You will be contacted with your account information via email within 2 business days. * Indicates required fields. For multiple brands, please fill out a separate form for each. Name of Authorized Purchaser* Title* Contact Phone #* Contact Email* Company Name* Brand Name* Kahala Unit #* Store Address* Store City* Store State* Store Zip* Bill to Address* Bill to City* Bill to State* Bill to Zip* Ship to Address (If different from bill to)Ship to City Ship to State Ship to Zip Ship to Residential Residential Address Yes No Store Phone #* Store Fax # Comments & Questions Δ
