Client Intake Form

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Client Intake Form

Please fill out the client intake form to the best of your ability below. If there’s something that you’re not sure how to answer, move onto the next question and send us an email at info@theboulderseoexpert.com noting the field in question and we will address it at a later time.

We cannot move forward with your business until we receive this information so please do your best to get it to us in a timely manner.

Thank you!

Business Information
Company Name:*
Address:*
Street Address City State / Province / Region ZIP / Postal Code Country
Address 2: (IF)
Street Address City State / Province / Region ZIP / Postal Code Country
Phone:*
Fax: (IF)
Toll Free Number: (IF)
Website:*
Profile Email / Web Mail / Business Email: (IF)
Business Type / Category:*
Products / Services:*
Products / Services:*
Business / Office Hours:
: HH
MM
Payment Methods Accept [Highlight all that apply]:*
- Cash
- Cheque
- Debit Card
- Visa
- Master Card
- American Express
- Discover
- Diners Club
- PayPal
- Invoice
- Financing
- Travelers Cheques
- Euro Card
In Business Since:*
Primary Keyword / Tags:*
Business Description - Short (200 Characters Max):*
Business Description - Long:
Business Logo: Upload Here
Photos (Min 10 Photos): Upload Here
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Photo 1
Photo 2
Photo 3
Photo 4
Photo 5
Photo 6
Photo 7
Photo 8
Photo 9
Photo 10

Video URL (Try to give 5 Videos): (IF) url

Additional Information
Tag Line / Business Slogan: (IF)
Specialties (exclusive products, areas of expertise): (IF)
Cities Served / Counties Served / Areas Served: (IF)
Language Spoken: (IF)
Wi-Fi: (IF)
Parking Available (Yes/No): (IF)
- Yes
- No
Reviews: (IF)
Testimonials: (IF)
Coupons & Specials [Get more business by adding an offer or discount. You can update or delete your coupon at any time]: (IF)
Offers [like this - 20% off all haircuts, Expires: Oct 15, 2013]: (IF)
Brand Names Carried: (IF)
Affiliations (BBB Member, Sites / Trade License#, chamber of commerce etc...): (IF)
Social Media Page URLs (Face Book, Twitter, Blog): (IF)
Owner Information
Name*
Position / Job Title:*
Owner / Contact Person Gender:*
- Male
- Female
Owner / Contact Person Date of Birth: (IF)*
Owner / Contact Person Bio: (IF)
Owner / Contact Person Location: (IF)
Street Address City State / Province / Region ZIP / Postal Code Country
Owner / Contact Person Photo: (IF)
Wordpress Login info: username/password*
Google Business login and url:*
Domain email account for US: please setup an email acct @your domain.com for us to use.
Note: Previous Business Name, Address & Phone for editing business: (If business was submitted many times by you or other SEO worker)

Client Intake Form

Business Information

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Additional Information

Owner Information