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*
Secondary number (if applicable)
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)

Cancelof
Please upload a copy of proof of business liability insurance:*

Cancelof
Please upload a valid copy of your business license:*

Cancelof
Do you have a Google Business Profile? (formerly known as Google My Business)*

YesNo
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)*

YesNo
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?*

YesNo
Do you have any before and after shots of completed projects?

YesNo
Do you have professional images of you and your team?*

YesNo
Do you have any video footage of you or your team team working?*

YesNo
Should be Empty:

New Client Information - Local Services