GVSU Web Team - Grand Valley State University

E-Commerce Request Form

Please fill out the below form. All fields marked with a (*) are required.

Your Information

First Name: *

Last Name: *

Email: *

Site where form should appear: *

FOAP: *
If you are unsure of your FOAP information, please contact the Accounting Office.

Form Information

Document Upload: If you have a word, pdf, or excel file, please upload it here. This will help us build the first part of your website.
Questions: If you have other comments about your form, please enter it in the field provided.
Payment Detail Description: This will be the title on the credit card processing page (30 characters max).
Notes on Additional Requirements: e.g. "Early Bird Specials", "Student Discounts", etc.

Confirmation Information

Thank You Message to Send to Customers: This message will appear when a customer completes their purchase and is redirected to another page.
Confirmation Message Emailed to the Customer after the Completion of the Form:
Name on the Confirmation Message (From): If this will be your name, please leave this field blank.
Email Address on the Confirmation Message (From): If this will be your email address, please leave this field blank.
Date the form is needed: Please note it will take around 3 weeks to complete your form. 3 weeks from today will be June 16, 2012.