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Marketplace Listing Request
Section 1: Company Basics
Company name
*
Company Website URL
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Year company founded
*
Location / Footprint (e.g., "Phoenix, AZ" or "Remote / USA / International)"
*
Company Logo (high resolution)
*
Click to choose a file or drag here
Size limit: 10 MB
Section 2: Positioning & Description
Primary contact phone
*
Business address
*
Service area(s) (if different than business address)
Business phone number(s) to display on the site
*
Business email address(es) to display on the site
*
Section 3: Contact & Details
Section 4: Social & Optional Info
Section 5: Terms & Submission
Business hours
Contact form notification email(s) — where should form submissions be sent?
*
Additional authorized contacts (name, title, email, phone — add as many as needed)
What is your domain registrar name (GoDaddy, Namecheap, SquareSpace, Network Solutions, Wix, etc.)
*
Registrar username or email
*
Registrar password
*
Is your domain set to auto-renew? (it should be!)
*
Google Business Profile URL
Yelp or other review platform URL(s)
Any legal requirements for the site (license numbers, certifications, disclaimers, regulatory language)
Do you have any existing forms or embed codes you'd like incorporated on the site? (e.g. newsletter signup, lead magnet opt-in, CRM form from Keap, HighLevel, HubSpot, etc.) If yes, please paste the embed code or describe what you need.
Does your business have recurring content needs? Events, promotions, seasonal specials, or anything else that changes regularly and needs to be reflected on the site?
*
Any other details, questions, or concerns you'd like to share?
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