Please take a few minutes to �ll out this information to allow us to successfully install our API on your current web-site. Required Information: Company/Organization Name:__________________________________________________________________Street Address: ______________________________________________________________________________City:__________________________________State: ____________ Zip:______________ Local Phone Number: ____________________________ Toll Free Number: _____________________________Website Address: ________________________________ Contact Email Address: _________________________Customer Contact Email Address: _______________________________________________________________

Current Website Login Information:Platform: WordPress Joomla Drupal HTML URL: __________________________________________Username: _____________________________________Password: ______________________________________

Hosting Information:Hosted at (GoDaddy, HostGator, etc.): _______________ Hosting Username: ______________________________ Hosting Password: _______________________________

Control Panel (CPanel) InformationAdmin Address: _________________________________User: __________________________________________Pass: __________________________________________

FTP Host: ______________________________________FTP User: ______________________________________ FTP Password: __________________________________

Contact My Webmaster:Name: _________________________________________Phone: ________________________________________Email: _________________________________________

API Installation