SEO Intake

Business Information

Company Name:*

Address:*

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

Address 2: (If you have a second location)

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

Business Phone:*

Fax: (If available)

Business Toll Free Number: (If available)

Website:*

Profile Email / Business Email: (If available)

Business Type / Category:*

Please list your main products and services below:*

Days Open / Closed and Your Business Hours Each Day:

Payment Methods Accepted (Select all that apply):*

In Business Since:*

Primary Keyword(s) You Want to Rank for in Google:*

Business Description - Short: (200 characters max)*

Business Description - Long:

Business Logo: (Upload here)

Photo 1 - Please submit 5-10 images below, including the outside and inside of your business location, any employees you would like to provide us, your products/services, and anything relevant to your Google business profile: (Upload here)

Photo 2 - See above for more info: (Upload here)

Photo 3 - See above for more info: (Upload here)

Photo 4 - See above for more info: (Upload here)

Photo 5 - See above for more info: (Upload here)

Photo 6 - See above for more info: (Upload here)

Photo 7 - See above for more info: (Upload here)

Photo 8 - See above for more info: (Upload here)

Photo 9 - See above for more info: (Upload here)

Photo 10 - See above for more info: (Upload here)

Video URL (Try to give 5 videos): (If available)

Additional Information

Tag Line / Business Slogan: (If available)

Specialties (Exclusive products / Area of expertise: (If available)

Cities Served / Counties Served / Areas Served: (If you want to target multiple areas)

Languages Spoken at Business: (If you offer more than just English)

WiFi Available (Yes / No): (If you offer it to your customers)

Yes
No

Parking Available (Yes / No): (For your customers)

Yes
No

Reviews: (If you have any available - You can type them below or explain where we can find them online)

Testimonials: (Please include links to video testimonials and web pages where we can find your testimonials below)

Coupons and Specials: (Let us know if you have any specials below to acquire new customers so we can help you promote your specials / coupons)

Brand Names Carried: (If available)

Affiliations - BBB Member, Trade License Numbers, Chamber of Commerce, etc...: (If available)

Social Media Page URL's: (Please list any social media pages you have below, especially Facebook, Twitter, LinkedIn, Instagram, YouTube, Pinterest, etc)

Owner / Contact Person Information

Name*

This person will be used in some of the profiles we create to represent the business online so if you don't want your name there, please use someone else.

Position / Job Title:*

Owner / Contact Person Gender:*

Male
Female

Owner / Contact Person Date of Birth: (Not needed but may be used in certain profiles we build)

Owner / Contact Person Bio: (May be used in certain profiles we create for your business)

Owner / Contact Person Location: (If different than the business)

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

Owner / Contact Person Photo: (May be used in certain profiles we create for your business)

Wordpress / Shopify Login Info: (URL / Username / Password)*

Google My Business Login: (URL / Email / Password)*

If you want to provide us with a separate Gmail than your personal business account, create that new Gmail then go to https://support.google.com/business/answer/6085299?hl=en and follow directions to add a new Gmail to your Google My Business account. Select "Manager" after you add us in and then provide that Email and Password above so we can use that login.

Domain Email Account For Our Company: (Please setup an email account @YourDomain.com for us to use)

You can use whitenoise@YourDomain.com or the name of your choice to add us. This is used for certain profiles for companies that want to verify that we are a part of the actual business.

If anything else is needed for your SEO campaign, we will reach out inside of our communication portal to request the information. You may have skipped something above that we needed so we will let you know in there as well. Thanks for taking the time to fill everything out. Talk soon!

Note: Previous Business Name, Address & Phone for editing business: (If business was submitted many times by you or other SEO worker)

SEO Intake Form

Business Information

Additional Information

Owner / Contact Person Information

SEO Niches

SEO Cities