Please enable JavaScript in your browser to complete this form.Information Needed - Step 1 of 2What is your name *FirstLastWhat is your email *Your Customer's InformationYour Customer's Name *FirstLastDoes this customer have a name they like to go by?Your Customer's Email *Customer's Phone (optional)Customer's Website InformationCustomer's Website / URL *WordPress Username *WordPress Password *Web Hosting/Server Login URLWeb Hosting UsernameWeb Hosting PasswordNextWhich Support Plan is your customer signing up for? *Pay as you goStarter SupportBasic SupportPremium SupportDeluxe SupportWhat type of service does your customer need? *The pay-as-you-go service is for any of your customer's needs. Simply enter the need your customer is having in the box and one of our agents will contact you back regarding the price of the service.How much are you charging your customer for the Starter Support plan? *Please note that for this plan WP Help will be taking $79.00/mo.How much are you charging your customer for the Basic Support plan? *Please note that for this plan WP Help will be taking $99.00/mo.How much are you charging your customer for the Premium Support plan? *Please note that for this plan WP Help will be taking $109.00/mo.How much are you charging your customer for the Deluxe Support plan? *Please note that for this plan WP Help will be taking $209.00/mo.Do you have any additional information we need to know?If you have any inquiries about billing or want to share something special about your customer, etc. Please let us know. EmailSubmit
