Delivery Service Platform Order Form

1
I have a minimum of unencumbered funds for the following* This field is required.Delivery planner is completely yours forever. You can cancel added services any time.
This is only an order form, if you have questions contact us.
FULL-SERVICE: $4497 ($49/mo hosting + 5% del fee per order)
SELF-STARTER: $2397 (apps included for a limited time only)
BASIC PLATFORM: $1495 (not inc. apps, website only)
Facebook Promo $199 (files only)
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Name* This field is required.
First Name
Last Name
3
Email to receive delivery notifications.* This field is required.
example@example.com
4
Cell Number* This field is required.You need a smartphone to get the full benefits of the platform.
Area Code
Phone Number
5
Address of operations* This field is required.Can be a home office.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
6
Are you comfortable with a business that may deliver alcohol or cannabis products?* This field is required.You are responsible to abide by the laws of your jurisdiction.
Yes
No
7
Which city will you deliver in?* This field is required.
8
Enter (EVERY) Postal Code you plan on delivering within or through. * This field is required.Enter postal or zip codes only - (5 Max, must be within city geolocation)
9
You need a smart phone with a data plan.* This field is required.
Yes my cell # is a smart phone.
No, I accept the risks.
10
Platform Hosting* This field is required.Delivery Planner requires cPanel hosting; will you be hosting your own platform or would you like us to do it for you? Min specs req'd.
I will provide my own.
Please host for me from $49 / mo.
11
Provide Your LogoMin size 500x500 pixels, PNG format preferred. *Extra fees apply for editing.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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Domain Name* This field is required.Your platform requires a www.website.com name or equivalent. What is your reserved dot com name? Eg: Delivery.ca. *Enter "None" if you have not reserved one.
13
Hosting ProviderIf you are hosting your own platform, please tell us which provider you're using. Eg: GoDdaddy
14
Do you understand that you are solely responsible for adhering to the legal responsibilities of owning and operating a business; and agree not hold SnappyDelivery.ca or its counterparts legally liable in any way?* This field is required.
Yes
No, and I absolve snappy delivery of any responsibility.
15
In business, your success is your responsibility alone - and you agree not to hold your family, friends, snappydelivery.ca or affiliates liable or responsible for your level of success.* This field is required.
I agree
I disagree
16
Any other pertinent info we need to know?* This field is required.
17
Signature* This field is required.
Clear
18
FINE PRINT

By submitting this application form, you acknowledge and agree that Full-Service Platforms add: *Min monthly fee of $49 + 5% gross delivery fee; You are of legal age to serve adult products in my jurisdiction, and - to the best of your knowledge and ability, the information provided is accurate. We do not guarantee business participation or accounts. Branding responsibilities are your own; You agree to abide by the terms and conditions set out by SnappyDelivery; You also agree that you may forfeit your chance to participate if you do not act on this offer before another party. Your submission does not guarantee placement. *Because we are handing over proprietary files and info, there are absolutely NO Refunds for delivered platforms. Monthly Full-Service Platform members may cancel at any time, at which point we end any provided services. We absolve all responsibility to platforms once you receive product files. In no way do you hold SnappyDelivery or its counterparts liable for questions of law or legal matters, or for your success or failure as a business venture. Due to Covid restrictions and customizations, Platforms may take up to 30 days or more before going live; usually earlier in most cases.

If you have selected (Self Starter), You agree to the same terms as above excluding gross delivery fees and hosting, unless chosen otherwise.
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Terms and Conditions* This field is required.
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My Products
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My Bag
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My Bag
Great Product Name
$20
Quantity:1
Size:Small
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Great Product Name
$20
Quantity:1
Size:Small
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Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
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ORDER SUMMARY
1USD
1USD
Total costUSD
Full Service Delivery PlannerIncludes Live-Feed Matching Mobile Apps, Automated Delivery Service Platform and Full-Service features.
$4,497.00+Edit
Back
Self Starter Including Apps and SetupIncludes Live-Feed Matching Mobile Apps $899; Setup $399; and Automated Delivery Service Platform.
$2,793.00+Edit
Back
Self Starter Without AppsSelf Starter Delivery Service Planner. *Not including hosting, setup or matching apps.
$1,495.00+Edit
Back
Facebook Promo $199 (files only)Files only. Setup, hosting, support, extras not included.
$199.00+Edit
Back
Total cost $0.00
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Payment Methods
Debit Or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and submit the form.
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