"*" indicates required fields

Exactly match your Google Business Profile name
Ideally this should be the eMail address used to maintain the GBP account
Address*
If different from above
Client Business Type*
Include https://
to maintain the GBP account
Provide a list of services or areas of specialization, Example: Auto Exhaust Replacement, Wheel Alignment, Brake Service, etc.
EXAMPLE: Facebook, Twitter, Instagram, LinkedIn, etc.

IF THE BUSINESS HAS A GOOGLE MY BUSINESS PAGE THE FOLLOWING SECTIONS SHOULD MATCH THE NAME, ADDRESS, PHONE NUMBER, LOGO, AND WEBSITE ADDRESS EXACTLY

Provide one or more URLs for images that can be found on the website.
Describe the area the business services. This can be a list of counties, cities or zip codes. It could also be a distance in miles. If the business covers more than one state, list each state.
This field is for validation purposes and should be left unchanged.