Contact Person for the Website*

First Last

Contact Person Phone*

This is the phone number where we can reach the person who is in charge of making decisions for the website design process

Contact Persons Email*

What email do we use if we have questions or for the final site review?

Your Website

This section will tell us how we can access your current website

Website URL*

Current Website Login URL

Where do we login to access the Admin or Dashboard of your existing website. For example with Wordpress it is usually something like http://yourdomainname.com/wp-login.php

Username

The username you use to login

Password

The password you use to login

Current Hosting Information

Please tell us where you currently host your site and how to log in

Hosting URL (Where do we go to login)

Username

Password

Domain Name Info

This is where you bought your domain name & how we will be administering to it. It is needed so we can set up your CNAME for your IDXBroker account and also to set your NameServers to point to our hosting. If you want us to make the changes to your domain name when it is time to go live then we will need access to your Domain where you purchased it.

Where did you Buy your Domain Name?*

Godaddy (https://godaddy.com)
Network Solutions (http://networksolutions.com)
Enom (http://enom.com)
namecheap (https://www.namecheap.com)
YourSiteNeedsMe.net (http://yoursiteneedsme.net)

Username

Hint* For Godaddy this is your Customer Number

Password

4 Digit Call in Pin

Do you have an email address associated with this domain? Ex. you@yourdomainname.com*

Yes
No

Where did you purchase/setup your email?

IF different from your domain registrar please also provide the login so we can access it to determine your MX records before we make your new site live and avoid interruption to your emails. ***Please note if your email is set up with your previous host you may have to move it. We do not provide email packages with out hosting.

Do you want us to move your site for you?*

We will migrate your site for free when you choose to host with us .

Yes, Please migrate my site for me
No, I would like to Migrate my site myself. Please provide me with a blank Wordpress Install & login info

Terms & Conditions

By checking the boxes below you are the person purchasing this site or a representative thereof & confirm that you have read and agree to the Terms & Conditions set forth by YourSiteNeedsMe, LLC and Charra Hammett. Please click this link to view the details of this agreement: https://yoursiteneedsme.com/disclaimer/

Terms & Conditions*

I have read and agree to the Terms & Conditions

Backup*

I agree to make a backup of my existing site within 24 hours

Signature*

By typing your name in this box you agree that you are the person purchasing this site or a representative of the person or company purchasing this site and agree to the Terms & Conditions set forth by YourSiteNeedsMe, LLC.

Additional Fees

By checking the boxes below you are the person purchasing this site or a representative thereof & understand that any special additions outside of the regular setup & theme design will be charged at our current billing rates & must be paid in full before project goes live. Setup includes Theme Options (colors, settings, formatting, theme license for 1 year) Home Page Design, Header, Footer, Sidebar, Google Analytics installation & setup, Additional Premium Plugin setup as needed/required. Current website page content copied over as is at YourSiteNeedsMe & Charra Hammett's discretion.

Additional Fees*

I have read and agree to the Additional Fees

After you submit this form you will be taken to the IDXBroker Signup page. If you have already signed up for IDXBroker you can skip that page.

CAPTCHA

Name

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

Moving your Hosting to YSNM

Honey Do List - Migrating your Hosting to YSNM

Your Website

Current Hosting Information

Domain Name Info

Terms & Conditions

Additional Fees