Apply | WigWag l Dedicated to Heating Installers

1. Accounts / Invoicing Details (Invoices with be sent to this contact)
Please complete all details below relating to accounts payable

Organisation Trading Style *

Company Name *

Company Registration Number

Company Address *

City *

Postcode *

Telephone Number *

Mobile Number *

Email Address *

2. Owners Contact Details
Please complete details below of the Primary owners / directors of the business.

Director / Owner 1 *

Position *

Director / Owner 2

Position

3. Project Contact Details (if different from above)
Please complete all details below relating to who is the primary contact for the ongoing project.

Project Contact Name *

Project Contact Telephone *

Project Contact Email *

Agreements *

I understand that WigWag can use my information to contact me

Terms & Conditions *

I have read and agree to the terms & conditions set out here

I have read and understood the following statements *

Websites remain the property of WigWag until the final invoice is paid.

Please Note: After submitting this form you will be redirected to our direct debit page so that you can setup the direct debit instruction

Form V2.0