About You

First Name *

Last Name *

Phone *

Email *

Please upload any headshots and a company logo *

About the Business

Business Name *

Business Address *

County

Business Phone # *

Website *

Business Hours

Business Email Address *

Alternative Email Address

Google My Business Account or URL

Short Description About The Business

About the Website

Website Content Management System (i.e. Wordpress, Webflow, Duda, etc)

Website Content Management System Username

Website Content Management System Password

Website Hosting Provider (i.e. Godaddy, Namecheap, etc)

Website Hosting Provider Username

Website Hosting Provider Password

Social Media

Facebook Page Name or URL

Twitter Account Handle (if applicable)

Instagram Account (if applicable)

YouTube Channel (if applicable)

Pinterest Account Profile (if applicable)

LinkedIn Page (if applicable)

Target Keywords

Keywords

Local SEO: Main Target City

Local SEO: Secondary Target City

Other

Additional Notes

IMPORTANT INSTRUCTIONS

Login into your Google Business Profile and go to Business Profile Settings -> Managers -> Add New and add the email address [email protected]

Questions?