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Name:
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Telephone Number:
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Listing Title / Company Name:
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Website URL / Website Address (if applicable):
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Name of Person to Contact:
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Contact e-Mail Address:
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City/Town Name:
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Landline Telephone Number:
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Fax Number:
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Cell Phone Number:
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Physical Street Address & Postal Code:
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GPS Co-ordinates (if available in decimal format):
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Postal Address:
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Hours of Business:
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Listed Information Title / This is the Headline Title to the Description to Your Offer:
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A Description of Your Offer. This is needed to build the online VIP Listing “Advert”
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Your Offering in bullet points including information such as:
> The Benefits of Your Products/Services in bullet points
> Your Guarantee in bullet points
> Any Secondary Means of Response eg an Advice Helpline & YouTube Video links
> Any Special Offers, Bonuses, Coupons, Discounts etc.
About Us info
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The details of two direct response forms and the e-mail addresses to which they should be sent ( if reply forms are required):
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The Question and options to a text poll survey:
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The Question and images to a picture survey:
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Your Facebook page URL (if applicable):
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Your Twitter Feed URL (if applicable):
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Five + Customer Testimonials:
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Less than 10 Google Search keywords (descriptive search words/short search phrases) for your listing:
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Your Preferred Short Google Description:
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A newsletter or calendar of events that you update on a regular basis:
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Your Google Login name and password if you need us to make a calendar for you.
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Please attach the following optional images:
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a logo picture ( Square if possible)
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A close up picture of yourself/ your team if this is required
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At least six pictures suitable for a rotating header slideshow - minimum is 3
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Ten product/service delivery/construction pictures suitable for a thumbnail slideshow
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Twenty images for a product/service image gallery ( Landscape format if possible)
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Images and descriptions of products to be featured