1. Company Name*

2. Company Address*

Street Address Address Line 2 City State Zip

3. Company Phone*

4. Toll Free

5. Mobile Phone

6. Fax

7. Company Email*

8. Company Website*

9. Products / Services Offered

(IE: boat lift repair)

10. Target Markets

(IE: Atlanta, GA, Naples, FL, etc.)

11. Google Analytics / My Business Login Info

(IE: Gmail address, password)

12. Any Keywords You Would Like to Target in Preferred Order

(IE: car wash, car detailing, etc.)

13. Company Logo

(High Quality Image | At least 1000 x 1000 pixels)

14. Short Business Description

(A sentence or two that summarizes the business. Up to 200 words)

15. Long Business Description

(A paragraph or more about the company, the products and services offered, and why someone should choose this company. Up to 1,000)

16. Hours of Operation

(Including Any Special Holiday Hours)

17. Payment Methods

(All. IE: Credit Card Types, Checks, Cash, Insurance, etc.)

18. Handicap Accessibility Features

(IE: Ramps, brail menus, special parking, wheelchairs, etc.)

19. Do Customers Come to the Business Location or Does the Business Go to Them?

(IE: grocery store vs exterminator)

They come to us
We go to them

20. Building, Products, Services, Equipment, Staff Photos.

(Professional/high quality photos helps establish quality, presentation, and availability. At least 1000 x 1000 pixels) Attach or email photos to us please.

Drop files here or

21. Social Media Accounts

(URLs/ Website Addresses for Each)

22. Brands

(IE: Invisalign and Zoom! for Dentists, Nike and Adidas for a Shoe Store)

23. Languages

(All languages your company supports beyond English)

24. Special Attributes

(IE: Women owned, Veteran owned, LBGTQIAA+ friendly, etc.)

25. Videos

(Must be hosted on YouTube or Vimeo - Provide Video Links)

Phone

This field is for validation purposes and should be left unchanged.

Local Directory Form