Google Local Search Listing

Please complete and submit the following information. All fields are mandatory unless otherwise indicated:

NB: If you have more than one physical location for your business we recommend you submit a separate listing for each address. To submit for multiple locations, just resend this form with your other location details. Each new location requested will incur our standard setup fee.

Once you hit submit you’ll receive an invoice from us for $88.00 (inc GST). On payment of this invoice we’ll submit your Google Local Listing for you.

Contact Details (these details will NOT be made available via your Local Search listing, but are required to setup and validate your listing)

Contact Name :

Email Address:
(This address will be used to access and manage your listing, and NOT be published by Google. This can be ANY email address but needs to be setup as a Google Account (which we will do). If you already have a Google Account we suggest using the email address for this. We will be in contact with you if this is the case.)

Is this email address already registered for a Google Account

	Yes	No	Unsure

Phone Number:
(This phone number - preferably a mobile number - is required for validation, If you provide a mobile number, Google will send you an SMS with a validation PIN number. We will need this PIN to activate your account. If you provide a normal phone number, we will provide you with a PIN that you will need, to validata a call that you will receive from Google to complete your listing).

Mobile Carrier:
(If you provided us with a mobile number above - Which company is your mobile provider)


Business Details (these details will be publicly available on your Local Search listing)

Country:

Business Name:

Street Address:


City:

State:

Post Code:

Phone Number:
(your primary business number)

Alternate Phone:
(optional)

Business Email:
(optional)

Website Address:
(optional)

Business Description:
A brief description of your business - max 200 characters

Business Details (these details will not be publicly available on your Local Search listing, but will be used by us to help define a suitable Category and Title for your listing)

Primary Product or Service:
(What is your most important product or service)

Business Category:
What General business category (or categories) would you use for your business(ie what sections would you appear for in the Yellow Pages?)

Google Local Search Listing

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