New Account Intake Form
Business Name
Business Address
Business Phone Number
Business E-mail
*
This is the email that messages will be sent from. Needs to be a domain email (Not gmail, yahoo, etc)
Website
Decision Maker
Decision Maker Email
Manager
Manager Email
Who should receive Review Notifications?
Decision Maker? Marketing Manager? Other Name and Email?
Who should receive Monthly Reports?
Decision Maker? Marketing Manager? Other Name and Email?
Logo Instructions
Existing GMB Listing?
Yes
No
Google Maps URL
GMB Address Showing Online?
Yes
No
Language To Use:
Customer
Client
Patient
Resident
Other
Type of Feedback Page
Rating
Survey
Survey W/Review
Survey Questions:
Account Level
Lite (Text Only)
Pro
Platinum (Pro + System Inegration)
Platinum Video (Pro +System Integration+Video)
System to Integrate With
Get Background Pics For Video From
How Will Customers Be Added?
Sign In
CRM
Import List
Integration
Sign In Delay
Sign In Form Fields
Name, Email & Phone
Name & Email
Other (See Special Instructions)
Sign In Special Instructions?
YouTube Information
Login Info or do we need to create a new account?
Social Media Posting?
No
Yes
Social Media Posting
Every 1 Day
Every 2 Days
Every 3 Days
Every 4 Days
Every 5 Days
Every 6 Days
Every 7 Days
Existing Social Media Accounts:
Social Media Accounts To Create:
LPM Team Member
First Name
Last Name
Notes
LPM Team Member Email
example@example.com
Submit Form
Should be Empty: