New Client Sign Up Form
Thank you for your interest in the Shop My Web Site and in becoming a part of our online shopping mall. Please take a moment to fill out the form below and submit your results to us when completed and a Shop My Web representative will be in contact with you shortly. All information will be confidential and used only for our evaluation purposes.
* Required Information
Contact Information
Company Name
*
Street Address
*
Street Address 2

City
*
State
*
Zip Code
*
Country
*
Name of Primary Contact
*
Email Address
*
Confirm Email Address
*
Phone Number
*
Fax Number
Company Information
How long have you been in business?

Type of Business
Sole Proprietorship
Partnership
LLC
Corporation
Other, please specify:
Is your company a distributor or manufacturer of the goods they sell?
Distributor Manufacturer
Number of Employees

Daily Hours of Operation

Do you have a physical space/store/warehouse, etc?
Yes No

If so, please list locations

Approximate Past Year Sales Figures

Business Goals for Future 5-10 Years

General Goals & Expectations for Joining Shop My Web
Product Information
What type of products do you sell?

Who are your main competitors?

What makes you different from your competitors?

Are product sales seasonal or location specific (used for the beach, snow, etc?)
Yes No

Do products go out of stock or get discontinued frequently?
Yes No

How often does product info change or need to be updated?

Do you currently have any of the following items in place? (Check all that apply)
Product Images
Product Description Text
Product features, specs, line drawings or other info
Stock Numbers
Database or delimited file for product information

What is the current markup percentage on your products?
Marketing & Advertising Information
Do you have a web site?
Yes No

If so, please enter its URL

Please list any company mottos, mission statements, philosophies or mantras

What is your target audience or primary market?

Do you ever run sales or specials?
Yes No

How do you promote new products?

Past Marketing Spending

Does your company currently do/have any of the following marketing and promotional items? (Check all that apply)
Flyers, handouts & other printed marketing materials
Exhibits at trade shows, seminars, conferences, etc.
Printed product catalog/pamphlet
Company logo image
Web graphics
Company tagline or slogan
Newsletter (email or print)
Professional packing slip and packaging materials with your logo/information
Customer Service and Shipping
Do you have customer service capabilities?
Yes No

Do you have trained service people to answer product questions via phone, email or fax?
Yes No

Product Return Policy

Which shipping methods do you offer? (Check all that apply)
Fedex
UPS
USPS
DHL
Other, please explain

Do you provide a tracking number for shipping?
Yes No

Do you send shipping confirmation once product is shipped?
Yes No

How long does it take to process an order from placement of order to shipment?

Do you do backorders?
Yes No

If so, how long will a product be on backorder before the order is cancelled?

Do you use environmentally friendly packing materials?
Yes No