SEO Service Information Form

• First Name:

• Last Name:

• Email:

• Confirm Email:

• Company:

• Phone:

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• Choose a service:SEO Services for Local Businesses (Full SEO Service Package)SEO Services for Local Online Marketing (Premium SEO Package)SEO Social Media Marketing ServiceSEO Pay-per-Click (PPC) Management Service

• Website URL (include http://):

• Keyword/Key phrase List (Enter 1 per line up to 10):
  

• Tags (Enter 3 or more tags that describe your website, 1 per line):
  

• Local competitors websites (Enter up to 10 websites. Include http://):

• Video URL (provide link to a video, i.e. YouTube, for promoting):
  

• Photo URL (provide up to 3 links to photos on your site):
  

• CREDENTIALS (required) Upload a file with all the login info OR enter them below:
  Attach File (Type: TXT, PDF, DOC or XLS):

• Website Login:

  • Login URL:

  • User Name:

  • Password:

• Website Hosting Control Panel:

  • Login URL:

  • User Name:

  • Password:

• FTP Login:

  • Login URL/IP:
    

  • User Name:

  • Password:

• Google Account (enter if you have one):

  • User Name:

  • Password:

• YouTube Account (enter if you have one):

  • User Name:

  • Password:

• Bing Account (enter if you have one):

  • User Name:

  • Password:

• Yahoo Account (enter if you have one):

  • User Name:

  • Password:

• FaceBook Account (enter if you have one):

  • User Name:

  • Password:

• Twitter Account (enter if you have one):

  • User Name:

  • Password:

• Other Information, Instructions and/or comments:
  

• Press to submit

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