Company Information (Primary Location)

Main / Office Phone Number *

Intake Phone Number (enter even if its the same as the main number listed above) *

Public Email Used For Your Business (such as Info@...) *

Intake Email (Website Lead Forms, DLF, General Campaigns, Etc)

Payment Types Accepted *

Are your fees always flat fees? *

Yes

If not, which services are and which are not? *

Year Founded (Some Verticals Require This Info) *

Number of Employees (Some Verticals Require This Info) *

Answering Service 24/7

yes

Bar Number (Some Verticals Require This Info) *

Birth Date (Some Verticals Ask For This)

Law School(s) (Some Verticals Require This Info) *

Years Attended (Some Verticals Require This Info) *

IMAGES - Please share interior, exterior, team members, events, etc (you can never send too many).

NOTE: Organic Keywords (PPC keywords will be done separately with PPC team)

Primary Keyword (primary practice area) *

Keywords (list here, KW1, KW2, etc) *

Case Types You'd Like To Add To Your Primary Practice Areas

Target Cities (or surrounding cities you market in) *

Additional Location/NAP

Secondary NAP For Google Local Service

Private Registration Email Address For Your Google Local Service

Local Email Password *

Local Email Webmail Link (Link used to sign in) *

2. Gmarketing Email *

Gmarketing Email Password *

Gmarketing Email Webmail Link *

Alias/Group Emails for Secondary GMBS

What Is The Email System Provider For The Firm

Who Creates and Manages Email Addresses For The Firm?

If An Outside 3rd Party, Provide Contact Info For New Email Address Creation Requests:

Message (Example: include contact info to IT person, or staff member who can assist with said request).

Google Properties Access

GMB Username/Email *

Add "[email protected]" on as a "Owner."

Add "[email protected]" on as a "Administrator."

GOOGLE SEARCH CONSOLE

GSC Username/Email *

Add "[email protected]" on as a "Owner"

GOOGLE ADS - MCC/MASTER ACCOUNT

*If the client does not have a Google Adwords account, request their Google My Business login

Google Ads Username/Email *

Google Ads Password *

Google Ads - Recovery Phone # and/or Recovery E-mail (For Verification Purposes) *

Domain Registrar Username/Email *

Domain Registrar Password *

Domain Registrar Login Link *

WEBSITE/CMS SYSTEM LOGIN (like Wordpress, Joomla, etc)

Website CMS Username/Email *

Website CMS Password *

Website CMS Login Link *

Call Tracking User Name/Email *

Call Tracking Password *

Call Tracking Login Link *

Callrail Tracking Enabled *

Select Telephone Number Type

Toll Free Number

Local Number

Enable Call Recording For Quality Assurance?

Yes

LIVE CHAT PROVIDER (If Applicable)

Live Chat Provider *

Live Chat Provider Username/Email *

Live Chat Provider Password *

Live Chat Provider Login Link *

Contact Name (IT person) or Message

facebook Agency Request

Youtube Channel Or Video Link *

YouTube Channel Management Access *

YouTube Recovery Email/Phone *

Twitter Recovery Email/Phone

LinkedIn Recovery Email/Phone

INSTAGRAM *Marketing Leader Only

Instagram - Username/Email *

Instagram Recovery Email/Phone

Email Marketing - MAILCHIMP

(*Marketing Leader and Partner Package Only)

Mailchimp password *

Reputation Marketing

Incentive - do you choose to offer an incentive?

yes

Incentive Type (choose one of the following by checking off the box)

$10 Starbucks Gift Card

$5 Starbucks Gift Card

$10 Dunkin' Donuts Gift Card

$5 Dunkin' Donuts Gift Card

Other (indicate in message field box below)

Review Incentive Notes & Additional Information

Provided Database *

Yes

NO - Will Provide Later

Reputation Marketing Location

Branding Guideline/Spec Sheets (*if you do not have one see below) *