Login Credentials Form

There can be many logins, passwords, and credentials associated with your business website, for all the services used to create your website. Some you will set up; some your website designer or developer will set up. Please use the form with the form below to enter the information you have available.

About You:
Tell us about you. In case we need to reach you with additional questions.
Name*
First Last
Phone
Email*
Your Website:
Website URL **
Domain name:
Domain name with:
Username:
Password:
Additional Information
Hosting:
Hosting Company Name:
Username:
Password:
Additional Information
FTP:
FTP host:
Port:
FTP login:
FTP password:
SFTP, SSL,TSL?:
Additional Information
WordPress:
Login URL:
Admin Username:
Admin Password:
Social Media:
Twitter Login URL:
Twitter Username:
Twitter Password:
Facebook Page Login URL:
Facebook Page Username:
Facebook Page Password:
Instagram Login URL:
Instagram Username:
Instagram Password:
Pinterest Login URL:
Pinterest Username:
Pinterest Password:
Google + Page Login URL:
Google + Page Username:
Google + Page Password:
Additional Information
Did you need to share anything else? Enter here any additional information, files, etc that will help us gain access to your website. At JRM Web Marketing, we respect your privacy and take protecting it seriously.
Additional Information
File
Drop files here or
Accepted file types: png, jpg, pdf, xls, doc.
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Login Credentials Form

About You:

Your Website:

Domain name:

Hosting:

FTP:

WordPress:

Social Media:

Additional Information

Do-It-Yourself

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