SEO/GBP Optimization Intake Form - Sterling Media House

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1. Legal Business Name

2. DBA (if different)

3. Primary Contact — Name

3. Primary Contact — Title

3. Primary Contact — Phone

3. Primary Contact — Email

SMS Consent

By checking this box, I agree to receive SMS text messages from Sterling Media House about my inquiry, order, appointments, and project updates. Message frequency varies. Msg & data rates may apply. Consent is not a condition of purchase. Reply STOP to unsubscribe, HELP for help. See our Privacy Policy (sterlingmediahouse.com/privacy) and Terms (sterlingmediahouse.com/terms).

4. Secondary Contact — Name

4. Secondary Contact — Phone

4. Secondary Contact — Email

5. Service Area

What cities, counties, or radius do you serve?

6. Years in Business

7. License / Insurance Numbers (if applicable — roofing, electrical, HVAC, etc.)

8. Current Website URL (if any)

9. Do you have an existing logo and brand colors?

SEO / GBP Optimization Intake Form