June 4, 2015 David Clough Register New or Existing Client*Are you an existing client of Clough I.T. Solutions?New ClientExistingEmail Address*Your Email Address will be your username. All correspondence will be sent to this email address. Password* Enter Password Confirm Password Strength indicator First Name*Last Name*New Client InformationBusiness NameABNPlease enter your ABNAddress*Please enter your address. If you have a different mailing address, please also include this.Phone*Please enter your preferred contact numberNature of Support*Are you, or will you, be requesting Clough I.T. Solutions to service an existing website?YesNoWebsite URL*eg: http://www.domain.com (must include http://) Domain Provider*Please enter the name of the provider where your domain is registered.Domain Provider UsernamePlease enter the Username for your account with your Domain ProviderDomain Provider PasswordPlease enter the Password for your account with your Domain Provider Enter Password Confirm Password Hosting Information*Is your website hosting with the same provider as your Domain?YesNoHosting Provider*Please enter the name of the provider where your hosting is regsiteredHosting Provider UsernamePlease enter the Username for your account with your Hosting ProviderHosting Provider PasswordPlease enter the Password for your account with your Hosting Provider Enter Password Confirm Password Website Login*Does your website have an Administration section (such as WordPress, Joomla or other CMS systems) where you can manage the design and content of your website?YesNoWebsite Admin URL*eg: http://www.domain.com/wp-admin/ (must include http://) Website Admin Username*Please enter the Username to access the Administration area of your websiteWebsite Admin Password*Please enter the Password to access the Administration area of your website Enter Password Confirm Password CommentsThis field is for validation purposes and should be left unchanged.