New Super-Store Website Information Form

Thank you for your purchase! You will be getting an order confirmation via email. If you don’t get it within the hour, please check your spam or junk folder.
In order to build out your new website please provide ALL the information below
If will take about 3 business days to complete your web site once this form is filled out.

NOTE: When the form is complete, click the SUBMIT button below

Fields marked with an * are required

First Name *

Last Name *

Email *

What is the domain name you want to use? *

You can use the web site below to check the availability of your domain name: http://www.internic.com/whois.html (opens in a new window)

Choose your professional Super-Store Website design that is already set-up to boost sales at https://gunas.com/web-site-designs/ (opens in a new window)

Note: The design number to choose appears above each design

Web Design # *

Below is the information you want us to put on your website.

Note: Please double check spellings and company name, what you enter here is exactly what we will use on the front end of your website.

Business Name: *

Phone

Address

City

US States

Zip

If you are using your own merchant credit card account, which credit cards will you take?

MasterCard
Visa
American Express
Discover

Please type in any additional information or questions you have:

New Super-Store Website Information Form

Your Cart