Oz Handmade (Store Application)

Type of Store I would like: *
 Monthly Store *  
 Market Store ** 
* Monthly store is open for the entire month.

** Market store is only open for 3 days a month.
If elected to have a Market Store.
Please state the date each month you would like to open.
Please choose which 3 days starting the 10th and no later than the 21st of each month.
You only need to elect the start date (e.g 15th)
Store Name: *
Your Name: *
Your Contact Email: *
Password for your store *
Less that 10 characters
Address *

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Sometimes I may be required to send you information via mail.
Phone Number
If you don't mind me contacting you by phone then please list your phone number.
Paypal funded email (if applicable):
Do you have a blog for your business?
Brief description about you and the items you sell *
Do you have a logo? *
 Yes 
 No 
If you answered NO
would you like more information on having one designed for you?
 Yes 
 No 
Preferred Payment Method? *
 Paypal (reccomended) 
 EFT (Electronic Funds Transfer) (Direct Deposit) 
Do you have a Facebook/Twitter page?
How did you hear about Oz Handmade? *
If you chose friend can you tell me who so I can thank them?
Other, please explain:
Do you have any question about www.ozhandmade.com?
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