Customer Update Form

Locke Supply Co. is in the process of updating our records so that we can improve communications with you, our valued customer.

Please provide your email contact information below. This will allow us to communicate with you more efficiently.

We take your privacy very seriously. This information will never be shared with anyone outside Locke Supply Co. It will be used only for our communications with you.

Thank you,

Locke Customer#:

Company Management:

Name:

Title:

Email Address:

Note: This address will be used for occasional communications such as product updates, surveys, fliers, etc.

For electronic receipt of documents: (Only Applicable to Charge Accounts)

Would you prefer to receive invoices via Email? yes no

Would you prefer to receive statements via Email? yes no

Name:

Email Address:

Note: Currently our system has the ability to send only invoices via Email, but we are in the process of adding additional capabilities. If you are already receiving invoices via Email, this will serve as a confirmation of that address. If not and you would prefer that, we will update our system with this information.