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New Client Information

Please fill out the form below as accurately as possible, in order for our team to activate your Easy Online Review service.

Name of Business
Email address to receive Negative reviews
Website URL
Business Address
Main Corporate Phone Number
Business Location Phone Number
Business Email address
Business Description
Keywords (Comma separated)
Year Founded
Special Services
Business Owner(s) Name
State License Number
Gmail Username
Gmail Password 
(This password will be standard for all accounts created  such as claiming review sites and social media sites)
Gmail Name For Account
(i.e. John Smith, this name will be used to create further accounts)
Facebook Username
Facebook Password
Google + Local URL
Google + Password
Panoramio Username
Panoramio Password
Twitter Username
Twitter Password
Youtube URL
Youtube Password
Pinterest Username
Pinterest Password
Hours Of Operation

Please try to include a street image of your business location, reception area, work areas, logo images and other misc. images for a total of 10 images to help customize your online profiles.

** Keep in mind if you CHANGE THE PASSWORD to any of your social media accounts, we would need to be made aware, so that we can reconnect our review platform to be able to post positive reviews on your social media sites.