WigWag Nottingham WordPress Websites

WigWag Client Account Form

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

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 *
Terms & Conditions *
I have read and understood the following statements *

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