Request an E-commerce Form

Please fill out the following request form for all E-Commerce Projects. All requests are review and approved by Student Administrative Services before Technology Services begins any design. If you have any questions regarding your project please contract Mike Mansfield at mmansfield@loyola.edu or 410-617-2044.

Fields marked with * are required.

Contact Information

Name*

Title

Department*

Email*

Phone Number

Event Information

Name of Event*

Sponsoring Department / Organization*

General Ledger for Revenue Deposits*

Date of Event*

Expected Go-Live Date of the Form*

Online Form Expiration

Description of Event (include pricing, items for sale, etc.)*

Custom Message Information

The E-commerce module allows you to add customized messages throughout the transaction process. Please fill out the information below to customize your message.

Customized Message on the Billing Screen

Customized Message on the Confirmation Screen

Customized Message on the Confirmation Email.

Confirmation email should include:

Order ID

Order Summary

Grand Total

Confirmation email FROM address*

Optional Upload

If you have a mock up of your form, please upload it below.
This can be a simple layout done in Microsoft Word.

Upload Your File