Shopify POS - Partner Leads Form
This form is for Shopify Partners to submit POS merchant leads to Shopify.
Please complete this form thoroughly before submitting.
If you don't have an answer to one of the questions below, please confirm an answer with your client before submitting.
The Retail Sales team is only focusing on merchants who are based in the USA, Canada, UK/Ireland and who operate or are opening brick and mortar locations.
Note: If you'd like to be included in the sales calls for a sales assisted referral, please add this to the comments section below.
Questions? Email us at:
$500 bounty terms here:
First & last name
Your email address
Your business name
As registered with your Shopify Partner Account
Merchant business name
Merchant website (.
We require a .
url for all referrals. If the merchant is not yet on Shopify, please create a development store in your Partner Dashboard and include that link below.
Merchant First Name
Merchant Last Name
Merchant Phone Number
Do you want sales support to pitch Shopify POS?
Yes, I'm submitting the referral to receive sales support and qualify for the POS Referral Bounty
No, I've sold the merchant on using Shopify POS, I'm submitting to claim the POS Referral Bounty only
Is the merchant currently using Shopify for their online store?
Merchant industry & what they sell
Animals & Pet Supplies
Apparel & Accessories
Art & Photography
Aviation & Aerospace
Baby & Toddler
Banking, Finance, Insurance
Charity, Non-Profit & Organizations
Construction & Industrial
Electronics & Gadgets
Food & Beverage (excl. Alcohol)
Gifts & Collectibles
Health & Beauty (excl. Pharma)
Media & Communication
Regulated Industry - Alcohol
Regulated Industry - Cannabis
Regulated Industry - Firearms
Regulated Industry - Pharma
Regulated Industry - Tobacco
Sports & Recreation (excl. Firearms)
Stationery & Office Supplies
Toys & Games
Travel & Tourism
Vehicles & Parts
Number of brick & mortar locations
Opening Location Soon
If 10+, how many?
Timeline for decision
ASAP (within the next few weeks)
Undefined (please expand in the notes)
If Undefined, why?
Annual sales ($) of merchant
How much does the merchant sell annually online and in-store
Up to $5,000
$5,000 to $50,000
$50,000 to $250,000
$250,000 to $1,000,000
$0 (I'm just getting started)
Current POS solution
No previous POS
What's prompted the merchant to consider Shopify POS?
Any reasons the merchant wouldn't be a fit for Shopify POS?
Any integrations (ERP, CRM, IMS) that need to be considered?
Any additional comments?
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