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Fill Out The Form Below With As Much Detail As You Can!
Business Identity
Legal business name
*
Exactly as it appears on IRS documents (W9, CP 575, or EIN confirmation letter). Not a nickname or DBA — the registered legal name.
DBA / "doing business as" name
If different from legal name (e.g., legal name is "John's Company LLC" but you operate as "John's Company")
EIN (Employer Identification Number)
Found on the CP 575 IRS confirmation letter, or a 147c letter if that's been lost
Business type
Select an option
Business industry / category
Address
*
Street Address
*
City
State
Country
Enter your country
Postal Code
Business phone number
*
Business email
*
Authorized Representative
Full Name
*
Title
What is the best phone number for customers to reach you? (We will be setting up a tracking number that forwards here)
*
What is your best email for our lead communication?
*
Website & Online Presence
What is your current website link
Do you have a Google Business Profile?
*
Yes
No
Your Facebook Page Link (If you do not have one please put “Need to create”)
*
Your Instagram Profile Link (If you do not have one please put “Need to create”)
*
Current Logo
Click to upload
PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF
PNG or vector, transparent background preferred
Operations Basics
Business hours
What cities do you service?
*
What are the main services you want to promote?
Offers/ promotions you have run in the past or thought about running
Average job value or price range
If comfortable sharing (helps calibrate reporting later — optional)
Area code on the number we purchase - call tracking
*
Write at least two area codes in case there is limited availability
Current scheduling method
Do you have an existing customer list?
Yes
No
Spreadsheet, notebook, an old tool? (relevant for the database reactivation campaign)
Existing customer list
Click to upload
PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF
Any Additional Notes
If you'd like
Submit