Search and Web Master Information Form

     If you have purchased the Search Master or Web Master products, please fill out the form below.  Please provide information about your site, your location, existing Google login accounts and passwords, and any other information that may help us increase your site's effectiveness.

Thank you,
Century Direct

Form - Search and Web Master Info Form

Primary domain name to optimize (required)

Are you open to other domains if they can be better optimized for your area? (required)
Your Name (required)
First Name (required)
Last Name (required)
Your contact phone number and email address (required)
Phone TypePhone Number (required)
You contact E-Mail Address (required) :
Please provide your mailing address to your business (used for Internet Mapping) (required)
Street Address (required)
City (required)
State/Province (required)
Zip/Postal Code (required)
Search Keyword Phrases
Search phrase 1 (First priority) (required)

Search phrase 2 (Second priority)

Search phrase 3 (Third priority)

Search Locations (i.e. services in city, state)
Search City, State 1 (First priority) (required)

Search City, State 2 (Second priority)

Search City, State 3 (Third priority)

Google Analytics Login Information
Do you already have a Google Analytics Login

Google Analytics Username

Google Analytics Password

Google Web Master Tools Login Information
Do you already have a Google Web Master Tools Login

Google Web Master Tools Username

Google Web Master Tools Password

Local Site Links specific to your business
Local organizations that are available in your area (provide URLs where possible)

Organizations specific to your industry (provide URLs where possible)

Any additional information you would like to provide
Comments / Questions / Suggestions

Billing Confirmation
I understand Search Master has a setup fee of $250.00 and a monthly fee of $99.00 (required)

I understand Web Master has a setup fee of $250.00 and a monthly fee of $129.00 (required)

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