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About you - the company representative

Your first nameis required

Your last name is required

Email is required

Contact number is required

Your date of bith is required. Format: DD/MM/YYYY or DD-MM-YYYY

About the business

Business name is required

Business address is required

City is required

Postcode is required

Business website is required

Bank details

Please provide your company’s bank account number and sort code so that we can process payments for transactions completed on the Wriggle Platform.

Sort code is required, format: 000000

Account number is required, format: 00000000

Account numbers must match

Terms & Conditions

Please read and accept the terms and conditions

Direct debit confirmation

Wriggle will process payments to your nominated bank account via regular automated direct debits and in line with the schedule agreed with Wriggle (2-4 days in arrears, every week or every month). By submitting this form you confirm that you are able to authorise debits, and that you request and authorise Wriggle to initiate transfers to and (in the case of customer refunds) from your nominated bank account through the Bankers’ Automated Clearing Services (BACS).

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