Your details
Name (Required)

Email Address (Required)

Website Address:

Objectives And Focus Areas: (List the overall objectives of this website and tell us about the focus areas (products and services) that you wish to market)

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Your Target Audience
Location *
(Specify Geographic Areas Which You Target e.g. Worldwide, National, Local Only, etc.)

Business to Business (B2B) or Business to Consumer (B2C)

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Your Competition
Name Competitors Currently Ranking On The Search Engines
(e.g. Google, Yahoo, Bing, etc.)

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Your Keywords
Suggest keywords & phrases that will be searched by your prospective customers/clients. If applicable, please also include all relevant keywords/phrases that are currently ranking well on the search engines.

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Your Domain Details
Who is your domain registry?
(Godaddy, etc.)



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CMS Details
Does This Site Incorporate A Content Management System (CMS)?
(e.g. can you edit and/or add pages through admin panel? )
 Yes No

If You Answered "YES", Can You Edit Title/Meta Tags For Every Page?
 Yes No

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Your FTP Details
Please Specify Your FTP Details *
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Google Places/Maps or Google Plus Profile Details
Do you already have a Google Places Account?
(I.E. do you already have your business location listed on Google Maps? )
 Yes No

Do you have a separate listing done for multiple addresses (if applicable)?
 Yes No

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Email Address:



Phone Number associated w/account:

Security Question and Answer:

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Your SEO History (Ignore This Section If The Site Has Not Been Optimized)
Please List Any Issues Encountered With Earlier Optimization:

Do You Have Any Web Statistics Setup (i.e. Google Analytics)?
 Yes No

If You Answered "Yes", Please Provide Details Below For Analysis Purposes:

Your Domain Names
Please List All Of The Domain Names Relating To Your Website/s: *
(e.g. Duplicate Sites Or Re-directs Pointing To The Main Site

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