Step 1 of 2

50%

Agency Information
Please fill out this form as completely as possible! All fields marked with a red star are REQUIRED FIELDS.
Make sure to read through this entire form and to give us complete, accurate information about your client and their business.

This service REQUIRES manager access to the GBP listing. You can either have the client add “[email protected]” as a manager manually OR you can provide them this direct link to authorize the access: https://gbp.businesscenter.app/external-gbp-invitation/15554019-1a38-4399-8d65-c12c2489413f
Who is your Account Sales Representative?
Who is your Quantum Account Success Manager?
Agency Name*
Your First Name*
Your Last Name*
Email*
Primary Contact Phone Number*
Associated Order Number*The first step in our process is to place the order for the product solution(s) desired. Once you pay for those products an order number is created. Please put that order number here in this field.

IMPORTANT!

This service REQUIRES manager access to the GBP listing. You can either have the client add “[email protected]” as a manager manually OR you can provide them this direct link to authorize the access: https://gbp.businesscenter.app/external-gbp-invitation/15554019-1a38-4399-8d65-c12c2489413f

GBP Listing Link

Business Industry/CategoriesPlease tell us what business categories the company would fit into. What industry or industries best classify the business (ie. cosmetic dentistry, auto repair, chiropractor, manufacturer, etc)

Give us the Top 10 Keywords you think people will search for when looking for a business like this*These are the keywords you think a prospect would search for in Google when looking for products or services your client offers.

Give us the Top 10 Cities the business wants to target/rank in and please prioritize from most important to least important*These are the top 10 cities the client wants to target for rankings. Please prioritize this list from most important to least important.

CAPTCHA

CommentsThis field is for validation purposes and should be left unchanged.

Scroll to Top