MERCHANT INFORMATION
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Customer Service Questionnaire

You may request as many as ten different categories, or sections within the mall.  If you choose more than one category, you will be billed for each location.  Before you fill out the form, you may want to familiarize yourself with the mall layout and make sure you know the section(s) in which you'd like to be placed.


Sign Up for Mall Placement for 1-Full Year!


Boost your e-commerce and retail sales by simply signing up your store for locations with Really Big Mall.  Just fill in the information below as best as you can and then click the "
Submit your request
" button when you're finished.  All store inquiries will be processed in the orderly fashion that they are received and we'll try our very best to review your site as quickly as possible.

Sign-up Form:
Basic store information Customer service information Shipping information Return and exchange policies Payment option(s) Product information Brick and mortar location(s) Contact person Company information Mall categories Your Comments Submit your request
*Please note:  
Any field names marked with an asterisk before its field name requires you to enter that specific information.

Basic store information
*Store url:   . .   
(Web address to your store.)

  Store logo:   . . / .   
(Web address for desired logo file to use for your store.  If left blank, we will visit your store and choose what appears suitable to display above your short description.  Please view our logo requirements.
)

*Short description:

     
(line 1)
    
(A very brief store description

     
(line 2)
    
that will appear beneath your logo.

     
(line 3)
    
Enter up to 85 characters per line.)
  
Long description:

     
(A description that is usually longer and may include specific product types and brand names.  This text will display along with your store's name at the bottom of each of your mall category pages.  Please refer to existing mall pages for samples.  We may have to edit down store descriptions that are too lengthy.)

*Year business started:  

*Does your store offer secure online shopping?  
 Yes   
 No

*How about a secure online shopping cart?  
 Yes   
 No

*Do you have an affiliate program?  
 Yes   
 No

Customer service information
  Tollfree number:  1 - - -   Local number:  1 - - -   Int'l number:  # - - -
  Tollfree extension:     Tollfree extension:     Tollfree extension:  
 
Sun :     to   :   Sun :     to   :   Sun :     to   :  
Mon :     to   :   Mon :     to   :   Mon :     to   :  
Tue :     to   :   Tue :     to   :   Tue :     to   :  
Wed :     to   :   Wed :     to   :   Wed :     to   :  
Thu :     to   :   Thu :     to   :   Thu :     to   :  
Fri :     to   :   Fri :     to   :   Fri :     to   :  
Sat :     to   :   Sat :     to   :   Sat :     to   :  
*Email address for online sales and support:  
@
.
*Confirmed email address for online sales and support:  
@
.
*Do you offer 24/7 shopping and customer support?  
 Yes   
 No

*Does your online store have a live shopping assistant for your customers?  
 Yes   
 No

  Do you offer price matching to your customers either online or at any of your retail locations?  
 Online store   
 At our retail store(s)

Shipping information
*Do you ship items to Canada?  
 Yes   
 No

*Do you ship items to other countries besides the U.S. and/or Canada?  
 Yes   
 No
*Can your customers pick up their items purchased online at a nearby retail location?  
 Yes   
 No

Return and exchange policies
*What is your standard return policy for most of your online orders?  
 15-Days   
 30-Days   
 45-Days   
 60-Days   
 90-Days   
 120-Days   
 180-Days   
 365-Days   
 100% Satisfaction Guarantee   
 No Returns Policy

*Can your customers return their items purchased online to a nearby retail location?  
 Yes   
 No

  Where can your customers exchange their items purchased online?  
 Items can be shipped back to our online store location   
 At any or all of our retail store locations

Payment option(s)
     Credit cards:  
 Visa
   
 MasterCard
   
 Discover Card
   
 American Express
   
 JCB
   
 Diners Club
   
 Carte Blanche
   
 Department Store

     Other payments:  
 Debit Cards
   
 Electronic Checks
   
 Checks By Mail
   
 Gift Cards
   
 PayPal
   
 Google Checkout
   
 Bill Me Later
   
 Financing for Qualified Customers

Product information
*Are you interested in promoting individual product pages generated by a product datafeed sometime in the future?  
 Yes   
 No

*Would you like to promote any special offers such as free shipping or exclusive discounts?  
 Yes   
 No

Brick and mortar location(s)
  Main store location, headquarters, showroom or warehouse:  
City   ,   
State  

  Approximate number of physical, walk-in stores in the U.S.:  
  Canada:  
  Countries besides U.S. & Canada:  

 City,
and
State,
and/or
Country 
Location1:     ,   
Location2:     ,   
Location3:     ,   
Location4:     ,   
Location5:     ,   
Location6:     ,   
Location7:     ,   
Location8:     ,   
Location9:     ,   
Location10:     ,   

(If you have any additional retail locations you'd like to list, please enter those locations in the comments section near the end of this form.)

Contact person
  Title: First name: M.I. Last name:      Suffix  
*Name of contact person:       

*Telephone number:  1 - - -     

  Extension number:  

  Fax number:  1 - - -

*Email address:  
@
.
  (If we need additional information or have questions, we'll most likely send you an email.)

*Confirmed email address:  
@
.
  (Please make sure this is absolutely correct!  If you make a typing mistake, we'll have problems contacting you.)

Company information
*City:    
*State:  
  *Zip code:   -


Mall categories
  Art, Photos, and Posters

  Baby and Maternity

  Books and Magazines

  Camera Equipment and Art Supplies

  Children's Clothing

  Collectibles

  Computer Hardware

  Computer Software

  Cosmetics and Fragrances

  Department Stores

  Desserts, Coffee, and Beverages

  Discounts, Auctions, Coupons, and Freebies

  Educational

  Electronics and Audio/Video

  Financial Services

  Fitness and Nutrition

  Flowers, Cards, and Candy

  Food Baskets

  Furniture and Home Accessories

  Games

  General Clothing

  Gift Baskets and Candles

  Gifts

  Gizmos and Gadgets

  Gourmet and Specialty Foods

  Hardware, Building, and Automotive

  Hobbies and Crafts

  Housewares and Appliances

  Jewelry and Watches

  Lawn, Patio, and Garden

  Men's Clothing

  Movie, Television, and Music Theme Stores

  Music Equipment

  Music Stores

  Office

  Outdoor Equipment and Clothing

  Personal Care and Medical

  Pets and Supplies

  Realtors and Moving Supplies

  Regional Foods and Spices

  Science and Nature

  Seafood, Meats, Groceries, and Food Services

  Shoes and Accessories

  Special Occasions and Seasonal

  Specialty Stores

  Sporting Goods

  Swimwear and Lingerie

  Toy Stores

  Travel Agencies, Luggage, and Accessories

  Videos and Movies

  Wine, Spirits, and Tobacco

  Women's Clothing

  Young Adult and Teen Fashion

  
Total:
  $0.00

Comments
List any comments, ideas or other information you'd like to share with us:

               

Submit your request for mall placement   When you're ready to submit your request for mall placement and all required information has been entered, click the "Submit your request" button:     


You are absolutely under no obligation and nothing happens until your payment has been received.  At any time you have questions or need any clarifications along the way, just send an email to signup@reallybigmall.com.  Thank you for your interest in Really Big Mall!




Solution Graphics

We accept
Visa
,
MasterCard
,
Discover
and
American Express
credit cards, debit cards, bank transfers, and
PayPal
.

Your financial information is not shared with us in any way.  All payments are secure and handled by PayPal's industry-leading security and fraud prevention systems.


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