Full Name *

Legal Business Name *

Business EIN *

Full Business Address

Street Address

City

State

Country

Postal code

Company website domain(s) *

We will be acquiring hosting credentials at onboarding so that Westland will have access to the website.

Domain Registrar

Domain Name Servers (DNS) *

Nameserver 1
Nameserver 2

What individuals (including yourself) will be granted access to the Westland software?

What is your best email for our lead communication? *

Google Ads Account ID#

If Westland DRE is managing any of the below assets, grant access to [email protected]

Facebook Page Link

Google Business Profile Link

LinkedIn Link

Twitter Link

TikTok Link

Youtube Link

What do you use for a Calendar?

What cities do you service? *

What are the main services you want to promote? *

Your Time Zone *

Area code on the number we purchase - call tracking *

Please list two area codes incase the first one is not available

Offers/ promotions you have run in the past or thought about running

Any Additional Notes