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Scheduling

Please fill out the form below to provide us with some basic information regarding your needs or your consumer's needs.

A representative from Kiwi will be contacting you to discuss specific details and to schedule an appointment.

Or call the office directly at
(314) 894-0250 to schedule an appointment.
 


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ATTENTION
Agency
Professionals:

Kiwi Creative Services
offers complete solutions
for your consumers.

Expert planning,
management,
and installation
are all conveniently
available from Kiwi.

Kiwi works for you
& your clients.

 
Your name: *
Company or agency you are with:
Your title or relationship with the client:
Requesting a proposal for:
(client's first name only)
The client's gender: Male Female
The client's age:
The client's weight:
The client's height:
The client's challenges:
(information may be faxed to 314-894-4852)
Description of the client's need:
(information may be faxed to 314-894-4852)
Expected time for completed project: Immediately
1-3 Weeks
3-6 Weeks
More than 6 Weeks
Your e-mail address: *
Your phone number: *
An alternate phone number for you:
Your fax number:
The client's zip code:
  Check out Kiwi's
Adaptive Equipment & Assistive Products!
 

We provide residential & commercial installation of products to provide barrier free and ADA solutions for your home or facility.
 
Kiwi Creative Services, Inc. ©2008, All Rights Reserved.