Sample Report Template
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ABCDEFGHIJKLMNOPQRSTUVWXYZAAABACAD
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Client Intake Form
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NOTE: Information should be exact match to that found on the Google Places page
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Current Business Name:Business Name
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Previous Business Name(s):Previous Business Name
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Business Owner Name:Business Owner Name
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Current Business Address:Address 1
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Address 2Bailout
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City, State, Zip, Country
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Previous Business Address(es):Address 1
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Address 2
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City, State, Zip, Country
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Current Business Phone Number:Phone
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Previous Business Number(s):Phone
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Hours of OperationHours
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Payments AcceptedPayments
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Coupon (eg. Free consult)Cupon
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Keyword 1:Keyword 1
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Keyword 2:Keyword 2
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Keyword 3:Keyword 3
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Keyword 4:Keyword 4
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Keyword 5:Keyword 5
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Current Business URL:Website
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Previous Business URL(s):Website
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Business Owner Email:Email
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Important Logins (Yext/Localeze/Directories):
Logins
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Music, Pictures or Video Preferences:Pictures
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Business Description (short):Description
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Business Description (long):Description
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Google Local Listing URLLink
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