New Client

Welcome to our Webarketing Services Program… To get started please complete the following form. Don’t forget to click on the “submit” button…

Webarketing Services Info Form

New client onboarding

Thank you for subscribing to our Webarketing Services Program. Please provide the following information so that we can serve you better.
Business Name*
Your Business Name
Contact*
Contact Name
Phone*
Contact Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
In order to establish and maintain your online presence we will need to have access to your numerous online accounts. Please complete the following information.. We will keep all the information confidential and only use it to benefit or enhance your online business image. Leave blank if you do not have the following accounts. We will assist you in creating them. Thank You.
Domain Name
Leave blank if you do not yet have one and we will assist you in getting a Great Name for your website.
Website
Domain Registrar
The Service Provider where you registered your Domain Name.
URL
the web address you logon to manage your Registrar Account
Account Login: Username (or email)
This could also be an account number.
PassWord:
PIN
This is your secret (Personal Identifier Number)
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Website Hosting (Hosting Company)
If you currently have a website, this is where you are hosting it.
Hosting URL
Where do you login to your hosting account?
Account Login: Username (or email)
This could also be an account number.
PassWord:
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Website Backend Editing URL
Where do you login to your hosting account?
Website BackEnd Admin
UserName (or eMail)
PassWord:
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Google Account Login:
UserName (or eMail) This could also be your account number
PassWord:
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Alt Google Account Login:
UserName (or eMail) This could also be your account number
PassWord:
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YouTube Channel Login: (if different from Google Login)
UserName (or eMail) This could also be your account number
PassWord:
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Facebook Account Login (UserName or email)
UserName (or eMail) This could also be your account number
PassWord:
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Twitter Account Login (UserName or email)
UserName (or eMail) This could also be your account number
PassWord:
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LinkedIn Account Login (UserName or email)
UserName (or eMail) This could also be your account number
PassWord:
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List Management Application (MailChimp, ConstantContact, Aweber, etc.)
Account Name
Name of the App you use to manage your email lists
URL
Where you Login to your account
UserName (or email)
This could also be an account number
PassWord:
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Any Other Social Media (or Profile) Accounts:
Account Name
Name of the App you use to manage your email lists
URL
Where you Login to your account
UserName (or email)
This could also be an account number
PassWord:
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Account Name
Name of the App you use to manage your email lists
UserName (or email)
This could also be an account number
PassWord:
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Account Name
Name of the App you use to manage your email lists
URL
Where you Login to your account
UserName (or email)
This could also be an account number
PassWord:
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Webarketing Services Info Form

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