eCommerce

Primary Contact & Website Status
Primary Contact Name*

First

Last

If for example a staff member is completing this application enter their details in here. There is an area for Director information later in the form.
Primary Contact Email*

If for example a staff member is completing this application enter their details in here. There is an area for Director information later in the form.
eCommerce Website Status*
- Planning
- Development
- Live
Anticipated Website URL

Please enter the address your website will be located. For example if Refined IT was having a website built we would enter: https://www.refinedit.com.au into this field. If you dont know call Refined IT on (08) 9200 3488.
Live Website URL

Where is your website currently located? Refined IT’s website is https://www.refinedit.com.au. If you don’t know call Refined IT on (08) 9200 3488.

Business Details
Business Name*
Business ABN*
Business Address*

This is your registered place of business associated with you ABN. Please include full address including Suburb and Post Code.
Business Email Address*

Its best to place your business email address that sends invoices in this location. i.e accounts@ or invoices@
Business Phone Number*

Accounts Info
Business Bank Account BSB*

Where would you like the eCommerce payments to be directed?
Business Bank Account Number*

Where would you like the eCommerce payments to be directed?

Purchase Info
What Are You Selling Online*

A brief description of the products and services your looking to sell.
Number Of Purchases Per Month*

Select the number of purchases your customers are expected to make per month.
Average Single Purchase Dollar Value*

Please enter an estimated or average single purchase dollar value.
Max Purchase Dollar Value*

Please enter the max value of a single purchase.
Number Of Purchases At Max Dollar Purchase Value*

Please provide the number of purchases that are close to the ‘Max Purchase Dollar Value’ question.
Number Of Purchases At Max Dollar Purchase Value*

Please provide the number of purchases that are close to the ‘Max Purchase Dollar Value’ question.
Average Product Delivery Days*

How long on average does it take for your products to be delivered to the customer.
Max Product Delivery Days*

How long is the maximum wait for your products to be delivered to the customer.
Comments

This field is for validation purposes and should be left unchanged.

Primary Contact & Website Status