Local Business Information Questionnaire

Business Information

Company Name:*

Address:*

Street Address City State / Province / Region ZIP / Postal Code Country

Address 2: (If Applicable)

Street Address City State / Province / Region ZIP / Postal Code Country

Phone:*

Toll Free Number: (If Applicable)

Website:

Profile Email / Web Mail / Business Email: (If Applicable)

Business Type / Category:*

Products / Services:*

Business Opening Hours*

Payment Methods Accept [Highlight all that apply]:*

In Business Since:*

Primary Keyword Ideas*

Please list all the keywords that you believe are important. This is for a starting point only. Keywords will be fully researched and discussed with you prior to implementation. If Already discussed type: As Discussed

Business Description - Short (200 Characters Max):*

Include services you offer and products you sell.

Business Description - Long:

Business Logo: Upload Here

Photos (Min 10 Photos): Upload Here

Video URL (Try to give 5 Videos): (IF Any)

Additional Information

Tag Line / Business Slogan:

Specialties (exclusive products, areas of expertise): (If Applicable)

Include your point of difference. Why should customers choose you?

Cities Served / Counties Served / Areas Served: (If Service Based)

Language Spoken: (If other than English)

Do you offer Wi-Fi: (If This service is offered)

Parking Available (Yes/No): (If Provided)

Yes
No

Reviews: (If Have Any)

Testimonials: (If Have Any)

Coupons & Specials [Get more business by adding an offer or discount. You can update or delete your coupon at any time]:

Offers [like this - 20% off all haircuts, Expires: Oct 15, 2013]:

Brand Names Carried: (If Applicable)

Affiliations (Accreditations, Sites / Trade License#, chamber of commerce etc...): (If Applicable)

Social Media Page URLs (Face Book, Twitter, Blog): (If Applicable)

Owner Information

Name*

Position / Job Title:*

Owner / Contact Person Gender:*

Male
Female

Owner / Contact Person Date of Birth: (Requred for Validity)

Owner / Contact Person Bio: (Gives better description)

Owner / Contact Person Location: (If Appropriate)

Street Address City State / Province / Region ZIP / Postal Code Country

Owner / Contact Person Photo: (Gives Validity to business )

Wordpress Login info: username/password

Google Business/ Google account login and url:

please provide a Google verified (verified with your Ph. number) account linked to Google My Business. We can access for GMB / analytics / search console data.

Domain email account and password for us: please setup an email acct @your domain.com for us to use.