1.  Your Domain Name  
2.  Your Name              
3.  Your Email              

4.   I am a Khimaira customer Yes  No

5.   Do you want to sell on a commission basis? Yes  No

6.  Please check one of the following:
   I (or my web designer) will create my page
   Please help me create a page
7  May we use images and information from your site to develop your page?
   Yes No
8  Do you have your own shopping cart?
   Yes  No
9  If no, would you like to use our shopping cart FREE?
(You can even use the cart if you just want to take a deposit on a kid!)
Go HERE to see an example
   Yes  No
  We will add up to five items on your page for FREE, and have the
 cart set up to deliver orders directly to you! 
 If yes, please indicate which of the following methods you want to accept as
 payment for purchases on your page:
Check (by mail)
Online Check (if you already have an account)
COD
PayPal  If yes to paypal, please enter your email address for PayPal
PayPal Address
Credit Card by merchant account

If you are using our cart and want to add more than 5 items, we will discuss
this with you.  Just let us know.  Also, consider offering buyers a little
something for shopping here!  Maybe a discount or a free item?  You'll then be
included on the front page!

Other Comments.  Please let us know what 5 items to include, and provide any
 additional information we may need:

I


Thanks!  We'll be in touch with you shortly!