Client Information Form

Submit your information below

Please fill in all information in the form below that is needed for the execution of your project. Please provide as much of the information as possible, even if you are not sure it will be needed, because it will make the project go much smoother if we have this information up front. Thank you.

Fields marked with an asterisk (*) are required.

Contact Information
Name*
Email Address*
Phone Number*
Project Access Information
Please provide all the information possible. We have found that even if you do not think it needed for the current tasks, it may be beneficial later and will save time then.
Project Website*
WordPress Login Information (UserID, Password) - If Applicable
FTP Information (FTP URL, Username, Password)
cPanel Login Information (UserID, Password)
Hosting Account Login Information (Link to Host site, UserID, Password) - If Needed
Domain Registrar Account Login Information (Link to domain registrar, UserID, Password) - If Needed
Other Information
Google Account Login Information (UserID and Password) - If Applicable
Other Relevant Project Information
Hourly Billing Policy*
- I have read the Hourly Billing Policy
Enter the text
Email
This field is for validation purposes and should be left unchanged.

Submit your information below

Contact Information

Project Access Information

Other Information

Why DeLime?

Why DeLime?

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Get in Touch

Raleigh, NC

Raleigh, NC