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Business Review Client Intake Form:
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Indicates required field
First Name:
*
Last Name:
*
Phone Number
*
Business Name:
*
Business Phone:
*
Google My Business Login & Password:
*
If you don't have a google my business listing enter n/a
Email
*
Website URL:
*
If you don't have a website enter n/a
Business Email:
*
Alternate Phone Number:
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Location Address:
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City
State
Zip Code
Country
Business Description:
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Short business description:
Forms of Payment Accepted:
*
List forms of payment accepted: visa, mastercard, discover, check etc
Services Offered
*
please provide services your company offers
Service Area
*
ie: Tampa, New Tampa, Trinity, Spring Hill, Hudson, New Port Richey etc
Company History
*
When was the business started, what inspired you to start the business, what need does your company fulfill?
Memberships and/or Certifications:
*
Do you belong to the Chamber of Commerce? Better Business Bureau? Do you have any certifications etc?
Logo
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Max file size: 20MB
Business Hours:
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Photo Upload
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Max file size: 20MB
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Home
Services
Instant Contact
Lead Generation
Search Engine Optimization
Mobile Conversions
Pest Control Marketing
HVAC Marketing