New Client Information Form

New Client Information - Local Services

Please provide all required details so we can get started
Business Name
Business name (what you want displayed to customers on Google, your website...)
Main office phone
Format: (000) 000-0000.
Secondary number (if applicable)
Format: (000) 000-0000.
Office E-mail
email for website form responses from potential customers or project inquiries
Office Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Business Category
Ex. Construction, Dentist, Retail...
Secondary Business Category (if applicable)
Ex. Construction, Dentist, Retail...
Services provided
One per line
Business Description:
3-4 paragraphs describing what you do and your unique value proposition
Service Area:
Please describe your service area (cities, zip codes, or overall area)
Please upload your logo (highest resolution you have)

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Please upload a copy of proof of business liability insurance:

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Please upload a valid copy of your business license:

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Do you have a Google Business Profile? (formerly known as Google My Business)
Please add "terry@riselocalconsulting.com" as a manager to your Google Business Profile if you have not done so already.

If you are not sure how to do so, here are instructions:

Add a managager to your profile
Do you have a Google Local Services Ads Account? (Google Guaranteed Ads)
Please grant "terry@riselocalconsulting" "Administrative" access to that account.

If you are not sure how to do so, here are instructions:

Manage access to your local services account
Do you have any images of completed projects or before and after shots of of work done on patients?
Do you have any before and after shots of completed projects?
Do you have professional images of you and your team?
Do you have any video footage of you or your team team working?
Should be Empty:

New Client Information - Local Services