Thank you for your interest in K&A's Products & Services. Please use this Mailing List Update response form if you would like K&A to update the contact information that we maintain for you and your company in our client/prospect data base for the purposes of sending out promotional materials. You can expect that we will update our data base with the new information that you have provided us.

Name*:
Title*:
Company Name*:
Web Site:
Mailing Address*:
City, State, & Zip Code*:
Telephone Number*:
Fax Number:
Email Address*:

*Required Field

Would you like to be added to our mailing list?
Yes No

If yes, what products and/or services do you have an interest in?

If yes, what is your preferred method(s) of communication for receiving our promotional materials?
US mail Email Faxes

If you are already on our mailing list, would you like us to update your information?
Yes No

If yes, what products and/or services do you have an interest in?

If yes, what is your preferred method(s) of communication for receiving our promotional materials?
US mail Email Faxes

If yes, please give us any updates or corrections to your contact information.

If you are already on our mailing list, would you like us to stop sending you promotional material?
Yes No

If yes, what products and/or services, for which you are receiving promotional materials, do you not have an interest in?

If yes, what is the method of communication that you do not want us to use for sending you promotional materials?
US mail Email Faxes

If yes, please give us any updates or corrections to your contact information.


PO Box 10 / 2270 Edgewood Dr. Grafton, WI 53024-0010
Phone: (262) 375-0360 Fax: (262) 377-4451		 7049 Ski Ct. Sturgeon Bay, WI 54235-8454
Phone: (920) 743-7584 Fax: (920) 743-3041