RCAS-Let’s Roll!

RCAS On-Boarding Information

Company Name:*

First Last

Address:*

Street Address City State / Province / Region ZIP / Postal Code Country

Address 2: (IF)

Street Address City State / Province / Region ZIP / Postal Code Country

Phone:*

Toll Free Number: (IF)

Website:*

Profile Email / Web Mail / Business Email: (IF)

Business Type / Category:*

Products / Services:*

Business / Office Hours:

: HH

MM

Payment Methods Accepted [Highlight all that apply]:*

In Business Since:*

Primary Keyword / Tags:

Business Description - Short (200 Characters Max):*

Business Description - Long:

Competitors URLs*

Business Logo: Upload Here

Photos (Min 10 Photos): Upload Here

Video URL (Try to give 5 Videos): (IF) url

Additional Information

Tag Line / Business Slogan: (IF)

Specialties (exclusive products, areas of expertise): (IF)

Language Spoken: (IF)

Testimonials: (IF)

What free thing would you like to give away? Appetizers are great. Bagels, donuts, etc.

Offers like this - [20% off all haircuts, Expires: Oct 15]: (IF)

Brand Names Carried: (IF)

Affiliations (BBB Member, Sites / Trade License#, chamber of commerce etc...): (IF)

Social Media Page URLs (Face Book, Twitter, Blog): (IF)

Owner Information

Name*

Position / Job Title:*

Owner / Contact Person Gender:*

Male
Female

Owner / Contact Person Date of Birth: (IF)*

Owner / Contact Person Bio: (IF)

Owner / Contact Person Location: (IF)

Street Address City State / Province / Region ZIP / Postal Code Country

Owner / Contact Person Photo: (IF)

Site Login info: username/password*

Google Business login info and url:*

Domain email account for US: please setup an email acct @your domain.com for us to use.

You're in!

RCAS On-Boarding Info

RCAS On-Boarding Information

Additional Information

Owner Information