KR Johnson 15547 W. 109th Lenexa, KS 66219 Phone: (913)599-1133 Fax: (913)599-5108 1-800-255-0298 I.M.P.A.C.

We would like to have you as a K.R. Johnson, Inc. customer.  Please fill out the information below to allow us to contact you directly. Company Name: First Name:       Last Name:  Address:           City:                 State:  Zip:  Country:           Phone:              Fax:  E-Mail Address: Web Site:          Would you like a catalog   Select One Yes No     Who do you currently buy adapters from?  Estimated value of adapters purchased annually?      If you would also like to fill out a Credit Application at this time, please follow the link below after pressing submit. Online Application (under construction) Print Out and Fax In Application     KR Johnson, Inc. 15547 West 109th Street * Lenexa, Kansas 66219 Phone: (913)599-1133 * Fax: (913)599-5108 Toll Free: (800)255-0298