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Business Information Worksheet
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Business Information Worksheet
Primary Contact Information
Business Name
*
Primary Contact
First
Last
Position
*
Phone
*
Website
Email
*
Business Owner Information
Business Owner Name
Business Owner Title
Linkedin
Date of birth
Date Format: MM slash DD slash YYYY
Email
Business Background
Company Tagline
Year Founded
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Distance from location for services or areas served
Email for submissions
Primary Phone
Secondary Phone
Fax
Number of Employees
Top 5-10 Business Categories (LIsted by priority)
Category 1
Category 2
Category 3
Category 4
Category 5
Primary keywords (256 characters)
Business description (Use keywords) (256 characters)
Top 10 Primary services (LIsted by priority)
Category 1
Category 2
Category 3
Category 4
Category 5
Business Products
Google My Business Page
Business Facebook page
Linkedin business page
Twitter
Youtube
Yahoo
Bing
Yelp.com
Events / Coupons / Special Offers
Brands
Professional Associations
Certifications
Links to company logo
Links to photos (3)
Business Hours
Mon
Tue
Wed
Thu
Fri
Sat
Sun
12:00 am
12:30 am
1:00 am
1:30 am
2:00 am
2:30 am
3:00 am
3:30 am
4:00 am
4:30 am
5:00 am
5:30 am
6:00 am
6:30 am
7:00 am
7:30 am
8:00 am
8:30 am
9:00 am
9:30 am
10:00 am
10:30 am
11:00 am
11:30 am
12:00 pm
12:30 pm
1:00 pm
1:30 pm
2:00 pm
2:30 pm
3:00 pm
3:30 pm
4:00 pm
4:30 pm
5:00 pm
5:30 pm
6:00 pm
6:30 pm
7:00 pm
7:30 pm
8:00 pm
8:30 pm
9:00 pm
9:30 pm
10:00 pm
10:30 pm
11:00 pm
11:30 pm
12:00 am
12:30 am
1:00 am
1:30 am
2:00 am
2:30 am
3:00 am
3:30 am
4:00 am
4:30 am
5:00 am
5:30 am
6:00 am
6:30 am
7:00 am
7:30 am
8:00 am
8:30 am
9:00 am
9:30 am
10:00 am
10:30 am
11:00 am
11:30 am
12:00 pm
12:30 pm
1:00 pm
1:30 pm
2:00 pm
2:30 pm
3:00 pm
3:30 pm
4:00 pm
4:30 pm
5:00 pm
5:30 pm
6:00 pm
6:30 pm
7:00 pm
7:30 pm
8:00 pm
8:30 pm
9:00 pm
9:30 pm
10:00 pm
10:30 pm
11:00 pm
11:30 pm
12:00 am (next day)
12:30 am (next day)
1:00 am (next day)
1:30 am (next day)
2:00 am (next day)
2:30 am (next day)
3:00 am (next day)
3:30 am (next day)
4:00 am (next day)
4:30 am (next day)
5:00 am (next day)
5:30 am (next day)
6:00 am (next day)
6:30 am (next day)
7:00 am (next day)
Add Hours
Payment Types Accepted
Cash
Visa
MasterCard
Discover
Debit Cards
Check
Invoice / Other
Website Upgrade/Redesign/Review
Is there any specific design element that you want to keep from the current look?
Unique selling propositions
What are your top 3 unique selling propositions? (In other words, what makes you stand out from competitors in the area? For example: We offer same price after hours, we offer 100% guarantee or service is free.)
3-5 most requested services
3-5 most frequently asked questions
Money back guarantees
Do you offer 100% money back guarantees or refunds? Any other promises you have regarding your services? -- if not already stated on existing site
Free estimates
Yes
No
N/A
Do you offer free estimates? - if not already stated on existing site
Specialty Service
Do you specialize in any particular service? Do you offer any services that your competitors don’t?
Special Techniques
Are there any special techniques or methods you have developed on your own for any of your services? For example, a more effective method of leak detection or pipe repair?
Additional training
Do you and your technicians participate in ongoing training programs? How do you stay up to date on the latest industry changes/standards?
Digital Assets Personalization
We create digital assets for you and the following questions will help us personalize everything and paint a more engaging picture of your company.
How did the company get started?
Why should patients or clients choose to work with you?
Anything extra you’d like your patients or clients to know about you? Do you have any special slogan or saying you would like to bring in? Ex: "Hometown heroes"; 5-star service
Do you service any specific brands or have contractual agreements that limit logos that can be displayed on the site
Upload a file containing database or account logins
Drop files here or