New Client Intake Form

New Client Intake Form

Please enter as much information below as you can. We will use this information to create or improve your online listings.
  • Business Information

  • Enter your EXACT address as it is listed with the Post Office/on your mail. For example, "Suite 1550" will be "Ste 1550" in the Post Office format. Put Suite or Unit #'s all on same line in street address field.
  • This is your primary email used for your business.
  • This is your main business/keyword. Ex: chiropractor, lawyer, contractor.
  • Add a new row
    Enter the top 3 to 8 services or products that you wish to rank for and sell more of. For example, if you are a chiropractor, you would put chiropractic services, massage services, physical therapy services, car accident treatment, etc...(Add another row by hitting the plus sign).
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  • Enter the main keywords you wish to rank for/agreed upon
  • Please write a general short description of your business and include as many of your main category keywords as possible while still making sense and being readable.
  • Please write a general description of your business and include as many of your main category keywords as possible while still making sense and being readable.
  • HIghest resolution possible; .JPEG, .PNG formats preferred - do NOT use a .PDF format.
  • If you have any high quality, high resolution photos, please upload in .JPEG or .PNG format. If you do NOT have any photos, we will purchase/provide them.
  • Add a new row
    If you have any videos already created, please share the URL's here. If not, we will be creating some together.
  • Additional Information

  • Column 1Column 2Column 3Column 4 
    Add a new row
    Please list any social media properties that you currently know of, including Facebook, Twitter, LinkedIn, Yelp, Pinterest, Instagram, Snapchat, Foursquare, Manta, etc...You may add up to 20 properties.
  • Owner Information

  • If you have an existing Wordpress site, please provide your admin username and password.
  • If you have an existing Google My Business (GMB) or Google Maps listing, please provide the gmail account and password so we may gain access.
  • We will need to create a domain email for our marketing use; please create an email called marketing@yourdomain.com and include the user and password for us to access. This will be used to create/manage all your online properties under one email, of which you will own and we will both have access. If you don't know how to do this, leave blank.
  • Note: Previous Business Name, Address & Phone for editing business: (If business was submitted many times by you or other SEO worker)
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