Guardian eCommerce™

Site Seal Registration Form (Secure)

Once This Form Is Completed, You Will Be Automatically Re-Directed To Complete This Registration Process (Payment).

ALL INFORMATION provided here will be protected, view Privacy Policy. If you have any questions about completing this form, please email: .

Please complete 'Section One' and 'Section Two' of this form...
Enter 'N/A' in those form field areas that are 'NOT APPLICABLE' to you or your Web site...

All Fields Mandatory, Where Applicable.Business Information (Section One)

Business Name Applying:
     
Corporate Name, If Registered Company,
(i.e. LLC, LTD, or Inc. Etc.):
     
If Personal Site, Enter Owner's Name:
     
Main Address  :  
     
     
City Or Town:  
     
State Or Province:  
     
Zip Or Postal Code:  
     
Country:  
     
Main Telephone Number: (123-333-3333)
     
Main Fax Number (or enter N/A if not applicable):  
     
Domain Name To Be Registered: (i.e. ABC.com)
     
Primary URL, (Of Web Site To Be Registered): (i.e. http://---)
     
Primary Email Address, (Web Site Admin.):  
     
How Old Is Your Web Site?  
   
     
Please Enter The URL Of Your Privacy Policy: (i.e. http://---)
     
Will Your Web Site Be Directed To Children Under The Age Of Thirteen (13) Years Old? Yes    No    Not Sure  
   
     
Is This Your First Time Applying? Yes    No    Not Sure  
     
Would You Like To Register More Than One Web Site/URL? (Please note: A Volume Discount Price Will Be Applied Post-Purchase) Yes    No    Not Sure  
     
Number Of Employees:  
     
Total Estimated Annual Sales:  
     
ONLY ONLINE payments accepted. Credit Card  MO/CC  Company Check  Bank Draft
     
Please Specify Site Seal Status Term You Intend To Purchase: 1 Year - $19.99 USD  2 Year - $36.99 USD 5 Year - $94.99 USD
     
Please Select The Site Seal Program You Are Applying For: Safe Site Approved Site (What's This?)
     
Web Site or Internet Business Category:
     
Specify Your Web Site's Classification:  
     
For Our Safe Site Links Directory: Please Enter A Brief Description About Your Web Site, (Please Note: This Will Be Published):
     
Please Tell Us How You Discovered Guardian eCommerce, (i.e. Name Of Specific Search Engine, Partner Site, Or Sponsor Site, etc.):
     
     
     

All Fields Mandatory, Where Applicable.Contact Information (Section Two)

President/CEO/Site Owner (The Person Authorized To Register Web Site):
     
Billing First Name:
     
Billing Last Name:
     
Title (i.e. President, CEO, Founder, etc.):  
     
Billing Telephone Number:   (123-333-3333)      (ext)  
     
Contact Fax Number: (123-333-3333)
     
Email Address:  
     
Address:   Same As In Section One
     
Billing City Or Town:
     
Billing State Or Province:
     
Billing Zip Or Postal Code:
     
Billing Country:  
     
Card Type:  
     
Card Number:  
     
Expiration Date:  
     
Card Verification Number:         
     
     

Please Read Carefully Before SubmittingForm Pre-Submission Information.

»»» By submitting this form, you agree to the terms, conditions, and statements made in the legal repository.

»»» After submitting this form, you will be automatically re-directed to complete this site registration process (payment).

»»» If you would like to register more than 1 URL/Domain, make sure this is clearly specified above. Please make payment in the page to follow, refund (to be applied within 10 business days).
     

Please enter security code