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On-Boarding Form - Location
Submit New Business Location Details
Please fill in the details below.
Important, Please Read Before Continuing
Your business name, phone number and address should all be exactly as you want them displayed on your website and other public directory websites (Yelp, Yellow Pages, etc.).
The information you submit on this form will be used by us from now on and cannot be easily changed.
Your NWM Customer Number (Provided in your welcome email) - NOT USED ONLINE
*
Your Name (Person filling out this form) - PRIVATE - NOT USED ONLINE
*
First
Last
Your Email - PRIVATE - NOT USED ONLINE
*
Your Email - PRIVATE - NOT USED ONLINE
*
Business Owner Name
*
First
Last
Business Name
*
Business Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Business Phone Number
*
Business Website URL (If you are a multiple location business - please provide the URL to the individual location page if you have those)
*
Public Facing Business Email
*
Social Media URL's (Put NONE if you haven't created any)
Please list as many as possible
Fax Number
Number Of Employees
*
Year Company Was Founded
*
Business Slogan / Tagline
Short Description Of Your Business
*
Long Description Of Your Business
*
Payment Methods Accepted
*
Select All
Cash
Visa
Mastercard
Amex
Discover
Check
Invoice
Debit
Insurance
Financing
Paypal
Hours of Operation
*
Please list any previous business addresses & phone numbers used
*
Services Offered - Please provide a complete list of major services that you offer.
*
Additional Business Attributes
*
Veteran-Owned
Women-Owned
Wheelchair Accessible Entrance
Wheelchair Accessible Restrooms
Wheelchair Accessible Seating
Please select all services that this location offers.
What are any other geographical references that people may use to describe the location of your business?
Who are your main competitors?
Primary Keywords / Phrases You Want Your Business To Rank For
Languages Spoke By Staff
*
What are your most popular/profitable services?
Please upload the following photos and logo files:
Exterior Photo of your building ( 1 or 2 photos )
Photos at/inside your location ( Try to have a picture of employees performing a service you offer. 1-3 photos )
Photos of products or services that you offer ( 3-5 photos )
Company logo ( Preferably .png or vector format )
Please upload business photos and logos
Drop files here or
Select files
Accepted file types: gif, jpg, jpeg, ai, eps, png, Max. file size: 512 MB.
gif, jpg, jpeg, ai, eps, png
Birdeye Account Setup
Birdeye Account Email
Do you want to have Birdeye automatically post reviews to your social media pages?
No
Yes, all 4 and 5 star reviews
Yes, only 5 star reviews
What format do you want Birdeye to send out review requests? (Asking customers to leave your business a review)
SMS Only
Email Only
SMS & Email (Recommended)
