TesselShop – … Bought to you by TesselMed

Primary Shopping Center Name*

Primary Shopping Center Address*

Street Address Address Line 2 City State ZIP Code

Shopping Center Operating Days and Time*

Shopping Center Start Time*

:

Shopping Center End Time*

:

Maximum number of shopper to be scheduled per hour?*

Do you have additional shopping centers?*

Yes
No

Second Shopping Center Name

Second Shopping Center Address

Street Address Address Line 2 City State ZIP Code

Second Shopping Center Operating Days and Time*

Second Shopping Center Start Time*

:

Second Shopping Center End Time*

:

Second Shopping Center maximum number of shoppers to be scheduled per hour?*

Third Shopping Center Name

Third Shopping Center Address

Street Address Address Line 2 City State ZIP Code

If you need to register additional sites, please email submit an additional order, after submitting this order. If you have any issues, please contact support@tesselmed.com

Third Shopping Center Operating Days and Time

Third Shopping Center Start Time

:

Third Shopping Center End Time

:

Third Shopping Center maximum number of shoppers to be scheduled per hour?*

Administration User Details

Title*

Name*

First Last

Email*

Enter Email Confirm Email

Phone Number*

Hidden

Special Instructions for Shoppers

Please provide any special instruction you would like

Shopping Scheduling Solution Monthly Subscription

Price:

Credit Card*

Please check your Stripe API Settings. Click the "Connect with Stripe" button to use Stripe.

Billing Email*

Enter Email Confirm Email

Billing Phone*

Billing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code USA

Consent*

I agree to the Terms & Conditions

You will be billed monthly every 30 days, unless you request to have your subscription canceled. Cancel requests must be sent to billing@tesselmed.com. Cancelations must be requested 30 days in advance of the renewal date.

Phone

This field is for validation purposes and should be left unchanged.

Shopping Session Registration

Administration User Details