Business Directories Intake Form

Local Citation Intake Form

Name *

First

Last

Name of Business

Business Address

Address Line 1

Address Line 2

City

State

Zip Code

Business email that will be used in listings *

Business Phone Number

Business Website / URL

What does your company do

Briefly describe the products/services your company offers

List hours of operation

What year did your company open?

What geographic areas does your agency serve?

If your customer/client is searching for your company online, what key words or tags would they use?

(Type each key word and hit enter after each)