North America Staffing Client Welcome Form

Please take a moment to complete the form below so we have all the practical information we need to begin working with you - we’re excited to get started!

MSA Details

As a client of Workwell Global, we are committed to ensuring you have a turnkey solution to place workers globally. Please confirm the following details. We’re here to make global workforce solutions seamless for you.

Agency Information

Registered Business Name(Required)

Trading Name

(if different to registered name)

Registered Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Company Registration Number (Incorporation Number)(Required)

VAT Number (Company Tax Number)

"As part of the North American solution, I would like to sign up with the following pricing package to place W2 contractors:"(Required)

Are you interested in learning about our integrated funding and back-office solution?(Required)

Yes

"I would like to sign up to Workwell Group North American Solution to access the following:"(Required)

The US Recruitment Academy

Advance Payroll Solution

Access to both

No - I would not like access to either

*please note to access either The US Recruitment Academy or our Advance Payroll Solution, you are required to sign exclusively with Workwell Global as your North American provider.

Agency Contact Information

Primary Contact(Required)

First Last

Primary Contact Office Address

(if different from above)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Job Title(Required)

Email(Required)

Contact Number(Required)

Invoice and Payment Contact Information

Contact name for invoice processing and payments(Required)

First Last

Email(Required)

Contact Number(Required)

Email to Receive Invoices (if different from above)

Invoice Address

(if different from above)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Authorised Signatory

Name(Required)

First Last

Job Title(Required)

Email(Required)

Contact Number(Required)

Information Provided By(Required)

First Last

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Date(Required)

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North America Staffing Client Welcome Form

MSA Details

Agency Information

Agency Contact Information

Invoice and Payment Contact Information

Authorised Signatory