Marketplace uPay and uStore Site Request Form

Please fill in the following information then click on the Submit button. uPay and uStore sites may take 1-2 weeks to set up, depending on the type of site needed.

Your information will be recorded when you submit this form.
*Required

Your department name *
Name of the department requesting the uPay site
 

Name of Dean or Dept Head *
 

uPay or uStore site Name *
What would you like the name of your site to be? (limited to 20 characters)
 

Is this site for a one-time event or on-going use? *

If this is a one-time event, what are the dates of operation?

Are you going to be shipping your products?

Requested start date *
Date you need the site up and running (Please be aware that it can take 1-2 weeks to create a new site)
 

Primary Contact - First Name *
 

Primary Contact - Last Name *
 

Primary Contact - Phone Number *
 

Primary Contact - E-Mail *
 

Secondary Contact - First Name

Secondary Contact - Last Name

Secondary Contact - Phone Number

Secondary Contact - E-Mail

Do you need a new fund created or do you have an existing FOAPAL to use? *

What FOAPAL would you like the revenues posted to?