Thank you for choosing Shift Media for your project, In order to assist us in getting started as quickly as possible, we have created this new client information form. Please take a moment and fill it out. If we require any additional information, we will contact you as soon as possible.  

New Client Form

Start Up/Intake form for newly contracted clients
  • Please provide a paragraph describing your business. We will use this for search engines, social profiles, etc.
  • Please provide any specific brand details such as colors (if different from logo), etc. Example -- Shift Media's brand colors are hex: #1da7d8 -- blue and #000000 Black.
  • Web Hosting Detals

    In order to effectively manage your currently hosted domain we'll need the following information:
  • Wordpress Details

    Wordpress Admin Login (if not on WordPress, add the platform your website uses such as Wix, Drupal, Joomla or any other CMS plaform.)
  • If you have any additional domains, FTP information and / or shopping cart logins please enter that information below. (If you prefer, you may email us a separate spreadsheet of all of your domain logins.)
  • Username/password
  • Phone Number:
  • Social Network Information

    Please provide us with access to the following accounts:
    We will contact you to assist with granting us administrator permissions to your facebook page.
  • Facebook Page URL/username and password
  • Google+ Profile URL/username and password:
  • Twitter Profile URL/username and password:
  • Linkedin Profile URL/username and password:
  • Youtube Profile URL/username and password:
  • Yelp Profile URL/username and password:
  • SEO

  • (Please be very specific - For example: Marc Jones DDS, or Marcus Jones DDS, or Dr. Marc Jones.)