Your first nameis required
Your last name is required
Email is required
Contact number is required
Description is required
Business address is required
City is required
Postcode is required
Business website is required
Business name is required
Business trading name is required
Company number is required, format: 00000000
Your address is required
Your date of bith is required. Format: DD/MM/YYYY or DD-MM-YYYY
Please list all other individuals who own more than 25% of the company, or are in a position to exercise significant control of the company’s finances and operations. Examples of individuals who exercise significant control may be chief operating officers or financial officers.
select an onwership percentage
Do you own more than 25% of this business, or do you exercise significant control?
Please let us know if there are other business owners
If you are not an owner, you must supply owner details
Are there other individuals who own more than 25% of the company?
First name is required
Last name is required
Address is required
Date of birth is required, format: DD/MM/YY or DD-MM-YY
Ownership percentage is required
Company directors include all members of the board of directors, or any other person appointed to direct the company's affairs. Directors may also be owners of the company.
Please let us know if you are a director of the business
Are you a director of this business?
If you are not a Director, you must supply company Director details
Please let us know if there are additional company directors
Are there other individuals on the board of directors?
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
Please read and accept the terms and conditions
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).
There are some errors, please scroll up and fix the highlighted errors.