GMB Intake Form - Greener SEO

Please fill out the form below and give us as much information as possible. If there is anything on here that you are unsure about please contact us and let us help you. This form provides us with all the necessary information and accesses so we can do the best job optimizing your Google My Business Optimization.

Google My Business Optimization Intake Form

Please Enter Your Transaction ID: *

What is your best phone number to reach you? *

Tell Us the Primary Niche or Industry *

Tell Us The Primary City

Website URL:

https://YOURSITENAME

Check If Applicable

We Do Not Have A Website

Company Name - Exactly as on GMB

Street Address * *

City * *

State * *

ZIP Code * *

Company Phone – Exactly as on GMB * *

If You Do Not Have A GMB Give Us The Best Number For Customers To Reach You.

Check if Applicable

We Do Not Have A Google My Business

Company Email * *

Confirm Email

Company Hours * *

Example: Mo-Fri 9am - 5pm

Owner/Spokesperson Name * *

First

Last

Company Description Note : What you enter here will be used EXACTLY AS IS. Be sure to use a description you like posted publicly. *

If Known, Tell Us Your Top 3 GMB Categories to Target * Category 1

GMB Category2*

GMB Category 3

Website Admin Login : *

Website Admin Password: *

Admin URL * *

Approval of On-Page Changes * *

Yes, I agree that on-page changes may be done to this site
No, please send recommendations only, we will make changes

GMB Account Admin Email:

GMB Account Password:

Google Account Recovery Info

GMB Account Access Choices: *

I will make [email protected] an account manager
I provided Greener SEO with login credentials Above

List of URLs to Any Existing Social Accounts:

Add one per line

Custom List of Directories/Existing Citation

I have a list of existing citation & will send the file

***Please send any existing citation files to lo******************@********eo.com and reference your company name**

Top 5 keywords you would like to rank for: *

Keyword you want to rank on #2 *

Keyword you want to rank on #3 *

Keyword you want to rank on #4 *

Keyword you want to rank on #5 *

Briefly List the Products or Services Offered * *

Unique Selling Proposition *

Number of Employees

Contractor License or Business License

Logo URL * This Field Is Required *

Note: gif, jpg and png files only

Photo 1 URL *This field is required *