3local DFY Data Collection Form
Please provide the following information to help us build your business website.

Before Completing the Form Please Click The Link Below To Make Your Payment
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Business Name *
Do You Have A Google Business Profile? *
Required
Business Address *
Business Phone Number *
Business Email *
Primary Contact Name *
Primary Contact Phone Number *
Primary Contact Email *
Domain Host Login URL *
Domain Host Username *
Domain Host Password *
Please list up to 20 locations within a 10 mile radius of your business that you would like to cover (one per line). *
Please list up to 4 main services your business offers (one per line). *
Do you have an existing form embed code? *
If yes, please provide the form embed code. If no, and you would like me to add one for you and forward all messages to your company email address, let me know below?
Do you have a promotional video on YouTube? *
If yes, please provide the YouTube video URL.
Is your site connected to Search Console? *
Any other information
Before Completing the Form Please Click The Link Below To Make Your Payment
Once you have completed the payment, please connect me to your 3local account as a member.
  • Go to Manage Workspaces -> Workspace Settings
  • Change the name of your Workspace to either your name or your company's name
  • In Invite New User, enter bbd3local@gmail.com
  • Press Invite
If you are unsure watch this video HERE
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This form was created inside of Best Business Development.

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