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Marketplace Listing Request

Section 1: Company Basics

Company name

Company Website URL

Year company founded

Location / Footprint (e.g., "Phoenix, AZ" or "Remote / USA / International)"

Company Logo (high resolution)

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?