* 1. Applicant Name and Contact Information:

* 2. Are you are current Gerson Companies customer?

* 5. Please provide your E-Commerce sales history (up to 2 years):

* 6. List of websites you are currently using to sell your products (include your business' URL, and insert commas between multiple websites):

* 7. Please provide your business' current Tax ID:

* 8. E-Commerce Billing/Accounting Information:

* 9. Please select a Payment Method for your G-Commerce account:

* 10. Please select a Shipment Method for your G-Commerce account:

* 11. Will you be using FTP for G-Commerce document transmissions?

* 12. Please provide your FTP URL and Login Credentials:

* 13. Please provide at least one email address as recipient of daily Inventory Feeds (insert semicolons between multiple email addresses):

* 14. Please provide at least one email address as recipient of Order Confirmations (FTP users only):

* 15. Please provide at least one email address as recipient of Shipment Tracking notifications (insert semicolons between multiple email addresses):

* 16. Select the product lines from the Gerson Family of Brands that you are interested in selling on your E-Commerce website:

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