New Website Request Form When you go live with your online store and your patients place orders for your products, do you want to stock and ship the products yourself (=fulfill the orders)? Fulfillment Radio Yes, I'll do it myself.You (or your staff) will handle inventory, picking, packing, and shipping from your office. No, please fulfill for me.We will handle fulfillment and we will charge a fee of 10% of the sale for this service. When your patients pay for orders online, do you want to charge your customers’ credit cards yourself? Payments Radio Yes, I'll do it myself.You negotiate the credit card fees directly with your merchant account service provider and all sales proceeds are immediately deposited into your bank account. No, please charge on my behalf.We will handle credit card charges and charge you a fee of 7% of the sale for this service. At the end of each month we will calculate and credit your account or send you a check. Your Name Your Phone Your Email Do you have a tech person that handles your existing technology, such as website, credit card terminal, etc.? If you authorize us to talk to this person, please enter his/her contact information below: Note: This information is optional. Tech Name Tech Phone Tech Email Submit My Request