MULTIPLE LOCATIONS ONBOARDING – Step 1

If you own multiple WellBiz locations, please use our two-step process to sign up. We’ll get you set up to accept Gift of Glow cards. It’s a quick and easy way to gain new customers.

Please provide the required information below for your holding company or corporate structure. Add details for individual locations in Step 2.

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Program Name

Company Name(Required)

DBA Name(Required)

This is your “doing business as” name.

Phone(Required)

Your contact person’s phone number.

Administrative Email(Required)

This is your headquarter’s email used for us to contact you for information or administrative purposes.

Website

Please be sure to include the full website address including the “http” or “https” portion.

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Company Country Code

Address(Required)

Address Line 2

City(Required)

Zip Code(Required)

State(Required)

Contact Person's First Name(Required)

Contact Person's Last Name(Required)

Contact Person's Title(Required)

Contact Person's Phone Number(Required)

Contact Person's Email(Required)

This will be used for the Administrator’s access to the Gift of Glow Merchant Portal where you may access company information and change settings.

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BHN Settlement Needed

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Invoice Email

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Remittance Email

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Payout Method

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Financial Institution Name

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Bank Account Number

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Bank Account Holder Name

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Bank Routing Number

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Terms and policy accepted at the corporate level

Date(Required)

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Client ID

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Legal Entity ID

W9 Business Name or First and Last Name for Sole Proprietors(Required)

The name of the relevant person or business as it appears on tax documents.

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W9 Business Name/Disregarded Entity

W9 Federal Tax Classification(Required)

W9 Address(Required)

This is the address listed on your business tax records.

W9 City(Required)

This is the city listed on your business tax records.

W9 State(Required)

W9 Zip Code(Required)

Social Security

Provide this if you selected “Individual Sole Proprietor” as your W9 Tax Classification. For all other choices, leave this blank and provide your EIN in the next field.

Employer Identification Number (EIN)

Provide your EIN for all tax classifications other than “Individual Sole Proprietor”.

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Provider Name

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Provider Merchant ID

Why do we ask?

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