Website and Google My Business Help Request
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Please tell us about yourself
Name of business owner *
Your Gmail address *
Email address we can contact you at
(Leave blank if it's the same as your GMail address above)
Please tell us about your business
Name of your business *
Your business website *
Business phone number *
This is the phone number for your business that you want posted on Google My Business
Business address *
Business City *
Business Post Code
Business Country
What is the category of your business? *
For example: Spa, Plumber, Car Repair, Furniture Shop
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Google's Privacy Policy applies, http://www.google.com/intl/en/policies/privacy/ 
Please select which applies *
Required
By submitting this form, you agree that you represent the business specified above and that Google or a trusted Google partner Endurance International Group may contact you to assist with signing up your business on Google My Business and/or a website. *
By submitting this form, you authorize Google and its trusted partner Endurance International Group to use the information on your business website or associated with your Google account to sign up your business on Google My Business and/or a website and to provide your new Google My Business account or website to you when it is ready. *
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