You are about to join the tens of thousands of companies who are now selling online. All you have to do is fill out all the information below and your online ecommerce store will up and one of our sales staff will contact you about setting up your store. If you have questions or concerns please phone us at: (204) 318-8000.

	Contact Information First Name: Last Name: Phone: Cell: Fax: Email:	Company Information Company Name: Address: City: Province: Postal Code: Country:
	Ecommerce Setup Fee Initial Setup Fee: $479.85 $399.95     May Promo - Save $79.90 Includes: - Initial Setup & Training (One time Fee of $299.95) - SSL Certificate ($149.95 per year) - Domain Name Registration ($29.95 per year)
	Ecommerce Package Standard - $39.95/month Professional - $49.95/month
	Domain Name Do you currently have a web address? Yes Current Domain Name: No
	Referral If there is an existing client that referred you to this site please enter in that company name. Company Name:
	Verify Code Please verify you are human by entering the two words below. If you cannot read the words please click the reload button to get a set of words or listen button to listen to the words.
	Secure & Confidentail Agatep Ecommerce never sells, rents, or trades your information. All contact information is confidential. For more information view our privacy policy.