Local Citation Builders Citation Intake Form
Please fill out all the requested information. The first section is for you, the second section is for your citations.
Email address
Section 1
Purchaser Information (You)
Your Name
First & Last
Your answer
Citation Package Ordered
# of citations ordered
Your answer
Section 2 - ORDER DETAILS
Make sure all fields are filled out CORRECTLY! This is what will be used in your citations.
Business Name
Your answer
Business Street Address
This is the EXACT street address that will be used and shown for all listings and directories
Your answer
Business City
Your answer
Business State
Full state or 2-letter abbreviations are acceptable
Your answer
Business Zip Code
Your answer
Business Phone Number
Full phone number, area code first
Your answer
Business Email Address
The email address you want displayed on your citations ex: myname@example.com
Your answer
Business Owner Name
First name & Last name
Your answer
Business Website Url
Your answer
Business Hours of Operation
Your answer
Short Business Description
Your answer
Business Categories
ex: dentist, roofer, landscaping, etc
Your answer
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