Contact Information or Business Information

Just the basics so we know who we're working with.

Full name *

Business Name or Company Name *

Your role *

Email address *

Phone number *

Best way to reach you *

Site Style Reference

We'll model your build on an existing site in the network so it launches fast.

Which existing site should we model yours after? *

Anything you’d like different from that reference site? *

Pricing & Shipping

Keep it simple with our standard rates, or tell us yours.

Pricing: match standard Axiom pricing, or set your own? *

Match standard pricing (recommended)

I'll provide my own prices

Shipping: use our standard flat-rate shipping? *

Yes — Priority $25 / Express $35, free over $250 (recommended)

No, I want custom rates

Show "Free shipping over $250" messaging on the site? *

Yes

Payments

How you'll get paid for orders placed on your new site.

Why we ask: Research peptide businesses are considered high-risk by many payment processors, so traditional online checkout options may be limited initially, so orders can’t run through a standard shopping-cart checkout yet. Until our processing partner is live, orders are captured on your site and paid manually — we recommend Zelle or Venmo over PayPal, since PayPal has flagged similar accounts before.

What payment methods do you currently have? *

Where should payment confirmations be sent? *

Business Entity

Not required to start the build — but needed before we can legally invoice your customers.

Do you have an LLC set up for this business? *

Yes

No, I need help

Do you have an EIN? *

Do you have a separate business bank account for this brand? *

Yes

Legal business/LLC name for invoicing *

Order Fulfillment

Who ships the product once an order comes in.

How will orders be fulfilled? *

I'll keep my own inventory and ship orders myself

Ship from Axiom's warehouse (drop-ship)

Who should receive new-order notifications? *

Social Media Access

So we can help you post and market once the site is live.

Do you have a Facebook Business Page for this brand? *

Yes

No, need to create one

Do you have an Instagram Business account for this brand? *

Yes

No, need to create one

Can you create these and grant our team admin access? *

Yes

No, need instructions

Either way, we’ll email you step-by-step instructions for creating the pages and adding us as an admin.

Final Details

Last step — anything extra we should know before we build.

Anything else we should know, or customizations you’d like beyond the standard template?

I understand my site will launch as a standard template under the Axiom Peptides network, and I’ll be notified before any additional customization fees apply.