Domain Host - Consent Form

Please correct the errors described below.

In the fields below, please provide us with your username and password for the site where you have your domain registered. Our team will use this information to sign in to that account on your behalf and configure or fix your DNS records so that email is sent and received properly on your Hushmail account.

It is highly recommended that you change your password prior to providing us access to a temporary password. Afterwards, you can change it back to what it was or something new.

Before providing this information in this form, please go to your your domain host and sign into your account there to make sure the information is accurate.

This is either the site where you first purchased your domain, or the site that hosts your DNS records.
If you selected Other from the previous list, please tell us the name of the site your domain is registered on.
The username for the site where your domain is registered.
The password for the site where your domain is registered.
Please provide the name of your Hushmail email account.
Let us know an address we can reach you on.
The best number we can call you on if need be.

If you have 2-step verification enabled on your account, we will call you on the above number to obtain the verification code.

Your information will be encrypted.