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Your name
Your email
Subject
Your message (optional)
CONTACT INFORMATION
1. Contact Name:
*
(Single Point of Contact)
2. Company Name:
3. Contact Phone:
*
4. Contact Email:
*
WEBSITE HOSTING INFORMATION
Will you be hosting with NicheLabs or someone else?
NIcheLabs
Someone else
5. Website Hosting Company Name:
6. Website Hosting Username:
7. Website Hosting Password:
DOMAIN INFORMATION
8. Domain Name:
Domain Registration
I already have my domain registered
I will be registering my domain myself
NicheLabs is registering a new domain for me
9. Domain Registrar Company Name:
10. Domain Registrar Username:
11. Domain Registrar Password:
SEARCH ENGINE INFORMATION
Google Business Account
I have an existing Google Business Account
NicheLabs will setup a new Google Business account for me
12. Google Business Gmail Address:
(if you have one)
13. Google Business Gmail Password:
(if you have one)
14. Keywords:
(what keywords should be included on your new website)
ECOMMERCE INFORMATION
I will be accepting credit cards from my website
Yes
No
15. Payment Gateway Name:
(if selling online. If not, leave blank)
16. Ecommerce / Payment Gateway Username:
(if selling online. if not, leave blank)
17. Ecommerce / Payment Gateway Password:
(if selling online. if not, leave blank)
Name
This field is for validation purposes and should be left unchanged.
