Form Design - Ultimate Info Services

New Client Form

Name(Required)

First Last

Mobile(Required)

Office Phone

Email(Required)

Company Name

Billing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Privacy & Terms Of Service(Required)

I agree to the privacy policy and terms of service for Ultimate Info Services(Required)

Email Consent(Required)

I agree to receive EMAILS from Ultimate Info Services / Drew Juen(Required)

I agree to subscribe to Ultimate Info Services email list, and to receive account updates, notifications, and the occasional marketing emails. I understand I can unsubscribe at any time, but by doing so I may miss important messages about my account, ways to save money, etc.

SMS/TEXT Consent(Required)

I agree to SMS from Ultimate Info Services / Drew Juen(Required)

I agree to subscribe to Ultimate Info Services SMS/TEXT notifications, and to receive account updates, notifications, and the occasional marketing text. I understand I can unsubscribe at any time, but by doing so I may miss important messages about my account, ways to save money, etc.

Ultimate WordPress Experience

"*" indicates required fields

Step 1 of 10

10%

First Name

Last Name

Phone

Company

Domain

I need Ultimate Info Services to:

Who is your current hosting provider?

Other Hosting Provider

What I need:

Billing Address

Street Address Address Line 2 City State ZIP Code

Service level agreement*

Yes, I m agree to Terms and Conditions and the Service Level Agreement

Choose your hosting platform

CloudAccess is our base provider for hosting. The base hosting fee is $10 per month. Both WPX and WPEngine are upgraded hosting applicable in many circumstances. If you are selling online, have a learning management system, online community, high traffic, a genuine need for faster performance etc then WPX or WPEngine are highly recommended.

CloudAccess

WPX

WP Engine

Use my existing hosting (min fee applies)

RR Only

Add RapidResponse System to your self-hosted Website?

Our exclusive RapidResponse system is included with our hosting bases by CloudAccess, WPX, and WPEngine. You have elected to remain with your current host, but you can still add the RapidResponse system to your website and speed up development time with our DevTeam (billed by the minute) or we can deliver your requests to someone on your team!

Security

Performance

Imagify

WP Rocket

Perfmatters

CDN

Choose your Maintenance & Support

Choose your System Features (Plugins)

Choose your discounted development hours

Choose Marketing Add Ons

Tracking Us

User Experience

OptinMonster

Unbounce

Do you need email

Choose Your Email system/number of addresses,

Strategy & Project Management Meeting

Stay on track with pre-compensated, regular meetings with Drew to get training, discuss planning, strategy, performance, process automation and everything else having to do with your Custom WordPress Experience and how you are using your platform to improve your business. Think of this as a regularly scheduled meeting with your website development team and marketing director.

UIS Custom WordPress Experience

Total

Custom WordPress

"*" indicates required fields

Choose Hosting Platform*

Choose your base hosting product

Choose Your Maintenance And Development Level*

Choose Plugins & Features Level*

Choose Security Features*

Advanced Website & Tech Consulting (Drew Juen)*

Company Email Addresses (SmarterMail)*

Analytics & Reporting*

Credit Card Payment Form

Personal Information

Name

First Last

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Invoice Information

Invoice#

Amount

A 3% surcharge will be added to payments using this form

Credit Card Information

Credit Card

American Express

Discover

MasterCard

Visa

Supported Credit Cards: American Express, Discover, MasterCard, Visa

Card Number

Expiration Date Month Year

Security Code Cardholder Name

Post Card Form

First Name

First

Last Name

Last

Mobile

Mailing Address