Intake Form – Maintenance Information

Thank you for your confidence in our services. Our agreement is month to month, and you may cancel at any time through your own Paypal money management screens.

Please ensure this information is accurate, and verify that all logins work before providing them here. If you’re not certain of something, then please test it or wait to fill out this entire form until you are.

  • This field is for validation purposes and should be left unchanged.
  • Existing Web Host?

    If you are retaining your existing webhost, then we do require this information. Please do verify / test your login before submitting the form.
  • Prefer to limit our access?

    If you are either unable or unwilling to provide full access to your Web Hosting Control panel, that's perfectly understandable. However, if that's the case, then in addition to WordPress, we will need both FTP and MySQL access. With both of those, we are able to recover from any catastrophic issue or hack. These items can be individually set up from inside your web hosting control panel.

  • Please use the box below to tell us anything else we might need to know. Any other relevant facts or notes that you would like on your permanent record should be added here.