Application for credit with Silverbox

Please use this form to apply to pay on credit terms

Main Company Information

Registered company name

Company registration number

Trading name (if different from above)

Address line 1

Address line 2

City

Postcode

Country

Parent company (if applicable)

Company type

Company web address

Main contact phone number

Requested credit limit & terms

Additional Information

VAT Number

Industry sector / Nature of business

Full name of the senior director(s) or partners(s)

Please provide an email address for invoices and statements

Accounts contact name & number

Accounting reference date

Supplier References

Supplier references may be used if information to further support the company's credit report is required.

Please be assured that any contact made will be of the most courteous and confidential nature.

Reference 1 - Company name

Reference 1 - Contact name & email address

Reference 1 - Credit limit & terms

Reference 1 - Address

Address line 1

Address line 2

City

Postcode

Reference 2 - Company name

Reference 2 - Contact name & email address

Reference 2 - Credit limit & terms

Reference 2 - Address

Address line 1

Address line 2

City

Postcode

Agreement & Declaration

IMPORTANT: This is an application for a credit facility with Silverbox. We will carry out a credit search of the company in response to this application.

I understand

PAYMENT TERMS: The terms that may be awarded to the account holder in response to this application must be adhered to, failure to make payments on the dates due will result in the reduction or removal of the credit facility.

I understand

By selecting "I agree" below, I declare that I have the authority to make this application on behalf of my organisation. I am applying for a credit facility as a trade customer of Silverbox Production Ltd. I understand and agree that all business is conducted in accordance with Silverbox's Terms & Conditions of Business. I understand that when purchasing equipment from Silverbox, title to goods does not pass to my organisation until payment has been settled in full.

I agree

I do not agree

Full Name

Date

Position in Company

I consent to having Silverbox store this information on its computer system for the purpose of conducting day to day business. I understand that my data will not be shared outside the company.