New Client Intake Form

Hosting • Website Maintenance • Email Authentication

"*" indicates required fields

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

Name*

First Last

Company*

Your Phone Number*

Your Email Address*

Your Website URL*

Be sure to include https:// or http:// before your website URL.

What services are you contracted for?*

Please select ONLY those services you have contracted for and NOT all the things you plan on doing.

Email Authentication Service

Website Hosting (with White Peak)

Website Maintenance

Do you currently use an Email Marketing platform? (Examples: Mailchimp, Constant Contact, etc.)*

Yes

What is your Email Marketing platform*

Please provide the login information to your Email Marketing Platform.*

If you prefer, you can create a unique set of login credentials for White peak using dev@whitepeak.io.

Your Website's Content Management System*

⚠️ If you have not done so already, please follow these instructions to share access with us to your Shopify Store.

⚠️ If you have not done so already, please follow these instructions to share access with us to your WordPress website.

⚠️ If you have not done so already, please follow these instructions to share access with us to your Squarespace website.

What is your Webhost URL/cPanel URL/FTP URL, username and password ?*

When we are performing our work, we will eventually need this information to perform the services you've purchased. If you are don't know your cPanel or FTP credentials, we will need the login credentials for your hosting account.

Email Service Provider*

Email Credentials*

We need login access to an administrator level email account on your domain to complete our work. Paste them below.

Domain Registrar*

What company manages your domain? This is typically the company your purchased your domain from.

Please provide us with sign in credentials to your domain registrar account*

Enter the username (or email address) and password below. If you prefer to provide us with our own unique credentials, please add dev@whitepeak.io to your account and then let us know below.

New Client Intake Form

Hosting • Website Maintenance • Email Authentication

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