CWR Digital

Fulfillment Form

Examples: Products, Buttons, Appointment Scheduler link, Coupons/Offers, Portfolios, Slideshows, etc.
Please provide a complete mailing address, including street, city, state, and zip code.
By submitting this online form, you acknowledge and agree to the following:

Purpose: This form is intended for collecting business information to request one QuickLinks QR code and mobile landing page as defined by CWR Digital. The details provided will be used to both initiate fulfillment on the requested service and prompt invoicing to begin at the agreed upon terms billed to the provided party.

Information Collection: Through this form, we collect basic business details (company name, website, etc.) and contact information (accounts payable name, email, phone number) for billing purposes. We do not request or store any sensitive personal or financial information.

Work Term Agreement: By submitting this form, you agree to pay for services as outlined on The submission of this form constitutes a formal work request and your commitment to enter into an agreement until a written formal cancellation is received by CWR Digital via email.

Data Use: The information collected through this form will be used solely for the purpose of fulfillment of the requested service, and communication regarding your order and ongoing services. We will not share or disclose your information to any third parties.

Modification of Terms: CWR Digital reserves the right to modify or update these terms at any time without prior notice. Your continued use of the website and online form after any such modifications constitutes your acceptance of the updated terms.

If you have any questions or concerns regarding these terms or our online form, please contact us at