Form Local (Maps / Places)

Local (Maps / Places)

The purpose of the Local Listing Quote form is to gather information that would be used to create a thorough Local Listing. A company description and other significant information is necessary for us to give you an accurate quote.
Please Fill out one form per map needed. (if your company wants 3 map listings, please submit this form once with each locations information)
Required *
First Name
Last Name
Company Name
Telephone
How do you "prefer" that we contact you:
*
Email Address
Rep / Firm Name:
Your Current Website
1. Please check the boxes below that you currently have a local listing / places with:
Google
Yahoo
Bing
2. Country
3. Company/ Organization Name
Alternative Company Name
4. Street Address
5. City / Providence
6. State
7. Zip Code
8. Main Phone Number
- Alternate Phone Number
- Mobile Phone Number
- Fax Number
9. Company Email Address
This is the public email of the company
10. Does your business provide services, such as delivery or home repair, to locations in certain areas?
Yes, the business services customers at their location
No, all customers come to the business location
11. Payment Options:
*Specify how clients can pay at your business i.e. VISA, MasterCard, etc.
12. Business Category
13. Business Description:
*250 Character Limit - modified with certain keywords for SEO purposes
14. Areas that your business services:
15. Products:
16. Brands:
17. Specialties:
18. Amenities:
19. Awards:
20. Professional Associations:
21. Client Testimonials:
22. Special Offers/Promotions:
23. Hours of Operations:
24. Add to your Local Listing with Photos:
Please send in any photos that you would like to see included in your Local listing. You can send in up to 10 different photos to admin@indyseofirm.com that you would like to be used in your Business Local Listing. The photos can be pictures of your products or your store front.
25. Boost your Local Listing with Videos:
You can enhance your listing by uploading videos relating to your business. If you have created a video and have uploaded it to YouTube, please enter the URL below. If you already have the embedded code, please provide it below and we will implement it to your Local Listing. You can have up to a total of 5 different videos.
(Please, provide a phone number in format, where X is a digit)
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