Local Listing Questionaire |

Please read through the form carefully and give thorough information. Too much is better than not enough!

All required fields are marked with an *

This section is your business information used by Go Pro Local to submit your site to the search engines, directories, etc.

Company Name *

First Name *

Last Name

Position Title

Company Email Address *

Do you have a domain registered for you company?

Yes

Website

If you have any questions regarding this form please feel free to contact Go Pro Local at info@goprolocal.com, or jeremy@goprolocal.com

Do you have a logo? *

Yes

Upload your logo here.

Do you have images for your business?

Yes

PHOTOS: You can add up to 5 images with your local listing. Please email photos to : Xxxxxxx@xxxxxxx.com

Do you have videos for your business?

Yes

VIDEOS: You can add a video to your local listing. Please upload the video to YouTube and send us the link.

Areas/Cities Served

Brief description of what your company does/sells:

If you were searching for your company, what key words would you use? – please try and use at least 5.

What categories would your company fit under?

grocery store

fresh food

auto supply

etc. (please specify)

Industry

manufacturing

technology

health care

etc. (please specify)

Market (Who do you sell to? )

Public

Business

Schools

etc. (please specify)

Demographics of your market (describe your average customer and who your ideal customer is as far as gender, age, job title, financial bracket- or where they live):

Main Competition: (list the top two or three)

Specialties

Professional Associations *

Do you offer any types of guarantees?

Yes

Guarantees?

Company Contact Information

Address *

City *

State *

Zip *

Phone *

Cell

Fax

If we are hosting for you what email addresses would you like setup?

e.g. info@yourdomain.com, yourname@yourdomain.com

What are your hours of operation?

e.g. 8:00 am – 5:00 pm - Mon-Fri – Evenings and weekends by appointment only.

Do you have any Certifications or are you a member with any Associations?

Yes

This section is your business information used by Go Pro Local to submit your site to the search engines, directories, etc.

Do you have an coupons or regular special offers?

Yes

Coupons and/or Special Offers:

Upload coupon/s if you have them.

Please list the top 5 cities you want to come up in the search engines for.

e.g. Phoenix, Chandler, Mesa, Tempe

Do you have a referral program or rewards program?

Yes

Please detail your referral /rewards program.

What payment types do you accept? (check all that apply)

Visa

Master Card

Discover

American Express

Paypal

Check

Cash

Please read through the form carefully and give thorough information. Too much is better than not enough!

All required fields are marked with an *

This section is your business information used by Go Pro Local to submit your site to the search engines, directories, etc.

If you have any questions regarding this form please feel free to contact Go Pro Local at info@goprolocal.com, or jeremy@goprolocal.com

Company Contact Information

This section is your business information used by Go Pro Local to submit your site to the search engines, directories, etc.

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