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Application Form
Your name
*
Your work email
*
Your phone number
*
Business name
*
Website/URL
What do you sell?
*
How much does your business currently make in
online sales
each month?
*
A
Less than GHS 10,000
B
GHS 10,000 - GHS 25,000
C
GHS 25,000 - GHS 50,000
D
GHS 100,000 - GHS 250,000
E
GHS 250,000+
F
Prefer not to say
How much does your business currently make in
online sales
each month?
*
A
Under $1,000
B
$1,000-$5,000
C
$5,000-$10,000
D
$10,000-$25,000
E
$25,000+
F
Prefer not to say
Where do most of your customers currently come from?
*
What is the biggest thing holding back your online growth right now?
What would make working with us a success for you?
How soon would you like to get started?
*
A
As soon as possible
B
Within 30 days
C
Within 1-3 months
D
Just exploring
Are you prepared to invest in growing your e-commerce business?
*
A
Yes, we are ready to invest
B
Yes, depending on the proposed approach
C
Not currently
Anything else we should know?
Submit