Email us: [email protected]

53 Hudson Ave. Ste 312, Nyack NY 10960

Call us: 845.327.2548

Hello Friend, time for a little data capture to get you going!

Please update the form below with all the information we need to start the web build process

Client (File Upload) Form

Full Name

Email *

Phone *

Business Name

What services do you offer?

“Example: Interior detailing, exterior wash, ceramic coating…”

Service Area (City / Region)

Primary Goal for This Business System?

Generate more leads

Improve follow-up

Book more appointments

Better customer communication

Preferred Contact Method for Leads Options:

Call

Text

Either

Best Number for Customers to Reach You (if different)

Do you currently have a website

Yes

Website URL (if applicable)

Show if “Yes” above

Do you own a domain name?

Yes

Not sure

Domain Preference “Enter top 2–3 choices”

or non-www version (https://yoursite.com)

Logo files(s) + Professional headshots

Upload file(s)

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF ( max 10 Files )

Media Upload

(video/photos)

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF ( max 10 Files )

Document Upload

PDF/DOCX/XLS/CSV

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF ( max 10 Files )

Instagram Handle

Facebook Page

About Your Business / Mission

Your Services / Programs / Deliverables

Business, Professional, or Career Highlights

Any Big Promotion or Event Upcoming?

(only if applicable)

Anything else I should know to get started?

By submitting this form or interacting with our chat, you expressly consent to receive marketing and transactional communications from WebWiz.io, including phone calls, SMS/text messages, and emails, regarding your inquiry, services, or account. You acknowledge and agree that calls may be made using automated technology, pre-recorded messages, or AI-assisted voice agents, including our virtual assistant, Larry. Message frequency may vary. Message and data rates may apply. You may opt out of text messages at any time by replying STOP, and you may opt out of phone calls by requesting do-not-call or contacting us directly. Reply HELP for assistance. Consent is not a condition of purchase.

[email protected]

(845) 376-6732