1 2 3 Business InformationPlease answer the following questions about your business.Business Name (exactly as it must appear online & Google)*Alternative Business names that people might use to find you online:Business Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country If multiple addresses, start by putting first address here.Main Business Phone (No 800#s)*Business Fax # (if you have one)Alternative Phone Numbers (List any additional phone numbers or tracking numbers that you have used for your business in the past)Main Business Email (for customer service, support, etc)* Enter Email Confirm Email Main Business Website* Primary Contact NAME*Primary Contact TITLEWhat YEAR was business founded?*Number of Employees1256789Business Category - list up to 5 (Ex. Accountant, Plumbing, etc)* Payment Types Accepted* Cash Check Visa Mastercard American Express Discover Paypal Google Checkout Financing Invoice Hours of Operation - MUST BE SPECIFIC FOR EACH DAY* Please list exact time that you open and close for each day of the week. Write CLOSED if you are closed on specific days.Do your customers come to your physical locale or place of business?*Yes, they come to our locationNo, we go to their locationBoth. Sometimes they come to us. Sometimes we go to them.Languages SpokenPlease list all languages spoken/ served by your business Your Business TaglinePlease give a brief description of what your company does or sells* Please be as specific as possible as we use this description/ information on your business profile on various authority sites across the internet.Products and Services Offered. Also include specific Brands you offer.* Additional Information (Free Parking, Happy Hour, anything else that you feel is important,etc) Professional/ Trade License # (if appicable)/ Special Awards & Recognition Also use this box to list any awards, special certifications, trade associations, or memberships. THIS IS IMPORTANT IN MANY BUSINESS DIRECTORIES, SO PLEASE LIST ALL.DOCTORS & DENTISTS ONLY - Insurances Accepted If you are a doctor or dentist and accept insurance, please list them here as many sites require this information.If a prospective customer was searching for your company online, what terms or keywords would they type into the search engines in order to find your company? Please list at least 5: What are your goals for this marketing campaign? What problems do you want it to solve? Do you want to offer a coupon to people who find your search listing? If so, what do you want the coupon(s) to offer (% off what service/ product, cash value for new clients, etc)? THIS IS HIGHLY RECOMMENDED. DEMOGRAPHIC INFORMATIONYour Industry: manufacturing, technology, health care, retail, professional services, etc?Your market? (Who do you sell to? Public, Business, Schools, etc)Coverage area you draw patients from locally - please list all cities and zip codes. Start with Top 3 priorities. Describe your average customer/ client and your ideal customer/ client (gender, age, financial bracket, where they live, etc) Why do your current customers buy from you? Do you ask for customer referrals/ testimonials? If so, how is this done? Main Competitors (top 5) PLUS their websites (if known): What do your competitors do better than you? What do you do better than your competition? Do you currently have established accounts or profiles with these sites? Gmail Yahoo Mail Windows Live If so, please share them with us in the next section so that we can help optimize & update these accounts.We always respect and protect your privacy.Google Places Login Info: username & password (if applicable)NOTE: This is very important, especially if your Places page has already been claimed/ verified. If you haven't claimed your Places page, we will do it for you (don't go set one up now as it is important to do it in a precise way).Gmail login info: username & password (if applicable)NOTE: This may be the same account that you login to your your Google Places account (if you have claimed/ verified it). If different, please enter it here.Gmail Analytics account: username & password (if applicable & if different than the above)NOTE: If you have not set-up Google Analytics yet, then do not worry about it. If you have, or if you have a webmaster that already has, then please add email@example.com as an administrator to the account. Yahoo login info: username & password (if applicable)It is important that you provide the same Yahoo login info that is used for your Yahoo Local business profile (if you have set this up already).Windows Live/ Bing login info: username & password (if applicable)It is important that you provide us with the same exact login info that is used for your Bing Business Portal (if you have already set it up - if not, don't worry we will do it for you in a very specific, optimized way).Have you ever registered your business with any other online directories? If so, which ones? Please include logins to your profiles if applicable. Facebook Business Page URL (if applicable)Twitter URL (if applicable)YouTube Channel URL (if applicable)LinkedIn Company Page URL (if applicable)Google+ Business Page URL (if applicable)FTP ACCESS to your main website. URL, Username, Password. We need webmaster access to your main website (and your blog too if separate) in order to upload the On Page Website Local Optimization changes: hCard implementation, KML sitemaps, multimedia sitemaps, etc. This is a very important part of your online marketing strategy that will help you rank much higher in the search engines. If you have a webmaster, you will need to ask them for your FTP access information (URL, Username, Password) and then provide it.cPanel System Access: URL, Username, Password (if different than FTP access info) This is similar to FTP access. Your webmaster will know what this is. This will allow us to properly optimize your website so that it matches the SEO strategy.CMS System Access (Content Management System): URL, Username, Password. Example: Wordpress Administrator access information if your site is on a Wordpress blog) If you do not know what this is, you can check with your webmaster. If your site is not built on a CMS platform like Wordpress, then this information may not exist.Please upload your company LOGOPlease upload a second imagePlease upload a third imagePlease upload a fourth imagePlease upload a fifth imagePlease upload a sixth imagePlease upload a seventh imagePlease upload a eigth imagePlease upload a ninth imagePlease upload a tenth imagePlease list your best 5 YouTube Video URLs that you would like us to use for promoting this company: Have you ever had any SEO or Online Marketing done by another company or individual. If so, please describe the extent of what they did (their focus, types of marketing, keywords, results). Also list anything they did that you were not happy with. Also if you have any SEO reports or analytics from them, including Google Analytics reports, please upload them to us in the next box. You may also email them to firstname.lastname@example.org. This will help us strategically build onto what has already been done and not create any SEO conflicts.Please upload your last Analytics or SEO report (Google Analytics, etc.). PDF files are preferred.