"*" indicates required fields First Name*Last Name*Primary Contact Number*Secondary Contact NumberEmail* Company Name*Northgate Account Number*Have you been referred by a Northgate account manager?*- Select one -YesNoPlease state the name of the Northgate Account ManagerAny additional comments.Location CodeCoupon CodePartnership TypeDate DD slash MM slash YYYY LanguageMandate CountryBy submitting the above details you are giving WEX Europe Services (UK) Limited and its subsidiaries permission to contact you regarding this enquiry as per the details provided in our Privacy Policy For more information call 0800 626672 quoting “Northgate”*In order to process a request to open a credit account with us we will supply your business’s information to credit reference agencies (CRA’s) and they will give us information about your business, such as about your financial history. We do this to assess creditworthiness and product suitability, KYC and identity checks, manage your account, trace and recover debts and prevent criminal activity.CAPTCHA
