LOCAL SEARCH INFORMATION FORM

In order for us to make sure your business is properly represented on the internet, we need to make sure we have the most accurate information. Please fill out the following form so that we can get started on your campaign.

Company Name*
Do you have multiple locations?
- No
- Yes
Primary Location Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Location 2 Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Location 3 Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Business Phone
Location 1 Phone
Location 2 Phone
Location 3 Phone
Main Contact Name*
Email
What eMail address would you like us to display on the website and online directories?
Website*
Year Business was Formed
Number of Employees
Company Description
Hours of Operation
PRIMARY City
What would you consider to be your PRIMARY city?
Top Additional Cities
Please list your top cities that you would like for us to FOCUS your SEO Campaign around in order of priority:
Payment Options
Services You Offer
Any Services You Don't Provide?
Any specific service you want to make sure to let us know that you do NOT do? For example, "We do not offer exterior painting, commercial painting, etc."
Who Are Your Main Competitors?
We can look up this information for you, but are there any main competitors you would like us to make sure we take note of ahead of time?
Do Your Technicians Have Android or iPhones?*
- Yes
- No
Any Coupons/Special Offers you would like us to Add/Update on the site?
What specials or coupons would you like us to create or replace on your coupon page (if applicable).
What is your Unique Selling Proposition (USP)?
What makes your business better than your competitors, for example, you show up on time and complete the job on time, you're a family-owned and operated company, your team specializes in a specific niche, etc.
License Number?
Any Awards or Certifications?
Has your business won any awards? Have you been certified by anyone? For example, Angie's List Service Award Winner, etc.
Any Memberships or Organizations you affiliate with?
Any Charities or Community involvement your Business Donates to?
What is your Average Transaction Value?
For example, how much is one customer worth to your business?
How will you define the Success of our program?
Please enter the Usernames / Passwords for your exiting accounts below. If you don't have access to certain items just let us know & we will help you obtain them.
Domain Log In
This is the Username / Password to access your Domain Name online, for example: GoDaddy, Network Solutions, etc.
Hosting Log In
This is the Username / Password used to access your website hosting, for example: GoDaddy, Network Solutions, Host Gator, etc.
CMS System Log In
This is the Username / Password used to access your website CMS system. For example: WordPress, Joomla, HTML, etc.
Google My Business
This is the Username / Password that was used to claim your Google My Business listings (if applicable).
Google+ / YouTube Log In
Facebook Login
Twitter Login
Bing Local Log In
Yahoo Local Log In
Angie's List Log In
CitySearch Log In
Yelp Log In
Other Existing Social & Online Profiles
Any Additional Comments?
Please list any additional comments or items that you would like to bring to our attention here.