Commission Based Ecommerce Application Form

This form can take up to 20 minutes to complete. Please supply accurate data were possible and close estimates were not. All fields marked with a * are required and the form will not be sent until these fields have been resolved.

Company Details

*
*
(where applicable)
* (e.g. DD/MM/YYYY)
*
* (Include area code)
* (example@example.com)
*
*
*
*
Please give a description of what market sector you are in and what products / services you are wishing to sell?
*
Please Give a description of your target audience and any other objectives you wish the website to achieve. (e.g. create brand awareness, offer a specialized service).
*
What is your unique selling point? What features distinguish your product over others? Who are some of your main online competitors?
*

Product Details

£. p
£. p
£. p
 
 

Business Income

What is your current monthly average sales revenue? (please mark one)
Under £1000 £1K - £2K £2K - £5K £5K - £10K £20K +
Supply any other information that you believe is important to your application?
(eg. our company received a national award for excellence. We have over 10 years industrial experience).

Please read our terms and conditions of the commission based ecommerce package before submitting this application. On approval of an application these terms and conditions will have to be signed by both parties and a contract of 3 years will be entered. If you are happy with this please check the box before continuing.