Website Client Intake Form Client Intake Form Thank you for taking the time to fill out this intake form. It will provide me with the essential information I need to begin work on your web site. Feel free to bypass questions that you don't understand or don't consider relevant. For other design process documents, go to the Resources page in the menu above. *This form is a secure form. Your answers will be encrypted when you send them. (meaning it's safe to send the login information requested in the form.) Point of ContactYour name*Company nameEmail Address* Phone Number*Current WebsiteWebsite URLDomain InformationDomain RegistrarUsernamePasswordHosting CompanyHosting Company Web AddressUsernamePasswordWebsite LoginUsernamePasswordPasswordNewsletter LoginCompany (Mailchimp, etc)UsernamePasswordSocial MediaSocial Media URLS (Facebook, Twitter, etc)Other Relevant Login InfoPaypal, Etsy, etc... Login InformationDropbox Account Email or link* I consent to my submitted data being collected and stored.