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(865) 282-2399 [email protected] 404 South Roan Street | Johnson City, TN 37604

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Encrypted Username & Password Form

The safest way to give us access to your website, social media, and more.

Contact Information
Company*
Select the Info you would like to share. Check as many options as needed.*
- Domain Hosting Credentials
- Hosting Provider Information
- Social Media Credentials
- Email Credentials
- Files
- Credit Card Processing Credentials
- Other Info
Domain Hosting Information
This is information so we can point your domain from a domain host like GoDaddy or similar.
Domain Hosting Usename or Account #*
Password*
PIN Number (if required)*
Hosting Provider Information
Hosting Provider*
Who is your current website hosting provider? eg. Godaddy, SiteGround, HostGator etc...)
Domain Hosting Usename or Account #*
Password*
Social Media Credentials
Need to share other information? You can add it here.
Facebook
Password
Twitter
Password
Instagram
Password
LinkedIn
Password
Other Service (please specify)
Username
Password
Email Credentials
We need a Gmail account for analytics setup and tracking. If you have an existing account you want to use, or a GSuite account, please list it here.
Username
Password
Share Your Files
File Upload
Drop files here or

Accepted file types: jpg, gif, png, psd, ai, eps, pdf, tiff.
Upload any files that we have requested or you need to share here.
Add additional information here*
Other Information
Enter any info that you need to send us.*
Credit Card Processing Credentials
In order to help you collect money on your website, we will need your credit card processing credentials.
Name of the Processor*
- Stripe
- Paypal
- Authorize.net
- Braintree
- Other
Name of Processor*
Username/Email for Account*
Password for Account (please pay attention to capitalization, etc.)*
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Get In Touch!

865-282-2399

404 S. Roan Street
Johnson City, TN 37604

[email protected]

Encrypted Username & Password Form

Credentials

Contact Information

Domain Hosting Information

Hosting Provider Information

Social Media Credentials

Email Credentials

Share Your Files

Other Information

Credit Card Processing Credentials

Get In Touch!

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