pcleavitt@leavittcom.com
(847) 955-0511



 

Become a customer

Please complete our customer information packet
In order for you to become a customer, we need to
collect the following information about you and your company. Please download the following forms, fill them out, and fax them to 270-447-1909 or email to pcleavitt@leavittcom.com. We will contact you to confirm your customer status as soon as we process your completed forms.

 Customer Information
 Bank Authorization
 Certificate of Resale

Credit Application
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