Registration Form (New Age Store Installation) Please fill out the following form completely. Your store should be online within 1 to 2 days (as soon as you have a web host and have opened an account with the dropshipper). After purchasing a store installation from us, you will receive information on how to open an account online with the dropshipper (they usually approve new accounts within a couple of days). After we install your store, you'll have access to our Members' site where you'll find information and instructions on how to run your store. Domain Address (www.yoursite.com): Web Host: If you don't yet have a web host, we recommend Blue Host. Store Name: Your Name: Address: City: State (or Province/Region): Zip Code: Country: Phone: Email: This is the email address that will be used for your store. Template: Please choose one of these template designs and type the name above: New Age; The Witch's Den; Crystals; Goddess 1; Goddess 2; Meditation; Buddha; Bamboo; Angel; Indigo Blue; Lotus; Magick; Forest Witch 1; Forest Witch 2; Black Cat; Something Witchy; Raven; Fairy; White Owl; Purple Owl. Questions or Comments: By checking this box, you agree and understand that after we do the work of installing the store for you no refund can be given. Installing a store takes considerable time and we deserve to be paid for this work. All sales are final. Please make sure to read our FAQs page completely so you know how everything works beforehand.