Shopify Plus lead submission

We’ll help you sell to high-volume merchants

Your prospect’s name Your prospect’s email address Your prospect’s phone number Your prospect’s business name Your prospect’s business URL Country

Region

Current ecommerce platform

Annual revenue volume

Would you like to work with the Shopify Plus sales team to close this deal? Yes No

Does your prospect sell in a regulated industry (cannabis, alcohol, medical devices, natural health products, pharmaceuticals)? Yes No

Please share any additional information we can use to support you.

How can we reach you?

Your full name Your email address Your region Your business name Your partner referral code

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