Client Onboarding Form Step 1 of 2 50% Business InformationThank you for signing up for services with Mainstreethost. We’re excited to kick things off! We will need the following information as soon as possible to begin working on your account: Who are you working with*Please Select Account Coordinator:Chris FerrariMark AmodeoLynn DusenRawey KasedRyan OkiecYasmin SantiagoJessica WoernerI'm not surePlease select the name of the person that sent you this page in an email or to whom you have spoken with about your marketing account. Business Name*Business Phone Number*Business Email Address* Business Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country The location of your business that will be registered with google, bing, yelp, etc. This address can be hidden, however is necessary to create the business listing. This cannot be a P.O. Box. Hide Business Address Please HIDE my business address check this box if you want your business address HIDDEN on google and bingHours & Days of Operation*ex. M 9-5PM or M-F 10-6Keywords Associated With Your Business*Please list a few keywords that you would like to be found under in the search engines. You may also list your services that are applicable to marketingLocations, Cities, Towns for Search Engine Optimization*Please list IN ORDER OF IMPORTANCE some areas that you service, would service, or areas that you wish to get more marketing exposure in. Accepted Payment Methods* Visa Mastercard Amex Discover Paypal Personal Check / Cashiers Check Please check all that apply Website Login InformationIn order to properly implement the SEO into the pages of your website, we will need access.How do you access your website to make changes?* WordPress Login FTP / file transfer Other website builder I’m not sure Login Link*the link you visit to get to the login screen or the link to your hosting control panelHostFTP hostname – please note if there is a preferred connection typeUsername*Password*If you need help finding this information, we can discuss this during a phone call. Please TEST and verify the information before sending it over to make sure it works. If you don’t know the password, you can always try to reset it to something you can remember. Local Citation AccessIn order to claim or adjust your existing listings online, we need access to these accounts. there will most likely be a pin number process that we can complete over the phone to finalize access. Google UsernameGoogle PasswordBing UsernameBing PasswordMisc. Additional Account UsernameMisc. Additional Account PasswordSocial Media ProfilesPlease enter the web addresses to your profiles on the following social media platforms.Facebook Instagram Twitter YouTube LinkedIn EmailThis field is for validation purposes and should be left unchanged. Δ