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Store Application

NOTE: This form is for store owners only. If you'd like to recommend a store that you do not own, please click here instead.

Required fields are marked.



  2. http:// 

  4. Select categories (required):
    or recommend a new category:
    You may select up to 3 categories. Multiple categories can be selected by pressing the Control (or Command) key.
  5. Site description as you'd like it published (required):

    This description should be short, but complete.  The search engine on the site will use the description you give us to help people find the products they are looking for.
  6. Contact Person (required):
  7. Email address (required):

  8. Site owners (required): (Legal owners, please, no fictitious business names)
  9. Address of Israeli retail store: (No P.O. boxes, please. If you do not have a retail location, please use the address goods are shipped from.)
  10. Israeli mailing address (required):
  11. Telephone number in Israel (required): (No cell phones, please. Land line only)
  12. Fax number in Israel:
  13. Form of business (select one)
    Individual
    Partnership
    Corporation --> State or country of incorporation:
    Other --> Please specify:   
  14. To whom do you sell? Check all that apply:
    Consumers in Israel
    Consumers outside of Israel
    Wholesale Distributors in Israel
    Wholesale Distributors outside of Israel
    Retail Stores in Israel
    Retail Stores outside of Israel
  15. What facilities do you own outside of Israel? Check all that apply:
    Subsidiary Companies
    Retail Stores
    Wholesale Distributors
    Warehouses
    Sales Offices
  16. How do you ship outside Israel? Check all that apply:
    Direct shipment of individual packages
    US or other foreign contract facilities
    Company-owned warehouses outside Israel
  17. Which Web host houses your site? (required)
  18. Comments or other information you would like us to be aware of when we consider your application:
  19. The undersigned individual certifies that the information above is true and correct in all material respects. By submitting this form electronically, I understand that Shopinisrael.com will use the information in deciding whether to list my site and deciding where to list it. I further understand that Shopinisrael.com reserves the right to refuse listings to any person or to remove listings at any time and for any reason or no reason. I also understand that Shopinisrael.com may edit or change my site description.
  20. Your Name (required):
  21. Please enter the code below:

    Code:
  22. Please check your entry CAREFULLY for spelling and accuracy. This will save our volunteers lots of time. After DOUBLE CHECKING your URL and description, click this button to submit your application.

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