Language
English (US)
Spanish (Latin America)
On-boarding Form
Winfluential
Primary Contact / Business Owner
*
First Name
Last Name
Business Phone Number - Inbound calls forward to:
*
Please enter a valid phone number.
Format: (000) 000-0000.
Cell Phone - Forward lead notifications to:
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email - Forward leads and invoices; used for app login:
*
example@example.com
Additional User Info (optional)
Mobile App Login
Additional User - Name
First Name
Last Name
Additional User - Email
example@example.com
If you have these profiles help us out by entering the URL below:
If not, skip this section
Current Website URL:
Facebook Business Profile URL:
Instagram Business Profile URL:
Google My Business Profile URL:
Besides your logo, photos are optional:
Unique photos will increase website leads. Original copies or new photos work best, screenshots tend to degrade.
Upload Your Logo:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Upload 1-3 Photos of Your Shop / Staff / Branded Vehicle's
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Upload 3 Before & After Photos:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Business Information
Primary Location
Years in business
Do you provide mobile services or in shop only?
*
100% Mobile
In Shop and Mobile
In Shop Only
In Shop and case by case Mobile
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
List the services you wish to advertise for:
*
1 per line
List of products to mention on website:
1 per line; leave notes if needed
List the cities, zip codes or radius around your business that you're looking for work in:
*
1 per line; We will target these cities with ads
Describe your ideal customer or job.
*
Examples: Luxury vehicle owners, small dents, luxury SUV ceramic coatings, anyone looking for my services
List any cities or zip codes to avoid within your target areas or close by.
Desired Password for Software Login Password:
This will be your Mobile App Password; If blank a random one will be generated.
Show Me How To Change This Password:
Yes
No
I have provided accurate information to the best of my knowledge, I am signing this form on behalf of:
*
Business Name
Your Name:
*
First Name
Last Name
Signature:
*
Submit
Should be Empty: