Client Questionnaire

Thanks for signing up! Please fill out the information below so we can get your business listed accurately. This should take about 5-10 minutes.

Company Name (as it will appear in local listings)

Contact Name (person handling this at your company)

Phone Number (for your local listing)

Is the number above a cell phone you can receive text messages at?

YesNo

E-mail Address (for your local listing)

Website Address (www.yourcompanywebsite.com)

Allow the public to see your Physical Address?

YesNo

Physical Business Location (No PO Boxes)

City/Town

State

Zip/Postal Code

Country

Year Established (year company started)

Company Tagline

Brief Description About Your Business (about 750 characters)

Hours of Operation

Payment Options you accept (select all that apply)

CashCheckCredit/Debit CardApple PayOther

Primary Target City (the main city you're targeting customers)

Products/Services Offered (list up to six, in order of importance)

What is your Primary Listing Area? (Local or National)

LocalNational

Do you need help with your website?

YesNo