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). You will then receive an email containing instructions for 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:
Template 1 (Goddess 1); Template 2 (Goddess 2); Template 3 (Magick); Template 4 (Forest Witch); Template 5 (Black Cat); Template 6 (Something Witchy); Template 7 (Raven); Template 8 (Fairy); Template 9 (Indigo Pentagram); Template 10 (Green Pentagram); Template 11 (Black Pentagram); Template 12 (White Owl); Template 13 (Purple Owl).

Questions or Comments: