Quick Switch Order Form

Filling out the form below will start the process of transfering your site over to Midphase. We take care of all the work, you just kick back and relax.

Your Customer ID can be found on your confirmation email when your account is set up.
If you do not know your Customer ID just leave it blank. If you have any questions please contact us 1-866-643-7427

Midphase Account Information





Old Account Information





MySQL Database Information (optional)






Please enter the security code.*

Have you read and agree to our
Quick Switch Terms and Conditions
Yes :

Start Transfer