Credit Application Form

Get A Free Quote

learn more

Please complete your details below : (*mandatory)

Company Name

Delivery Address

Fax Number

Post Code

Year Established

Purchasing Manager

Accounts Payable Phone *

Accounts Payable Email *

Trading Name (if applicable) *

Invoice Address *

Telephone Number *

Business Activity

VAT Registration No

Accounts Payable Contact *

Accounts Payable Fax No

HTML

For Limited Companies or Limited Liability Partnerships:

Year Incorporated *

Registered Office Address *

Company Secretary

Name of Parent Company (if applicable)

Company Registration No *

Company Director *

Financial Director

Other Information required from Limited Companies, Limited Liability Partnerships, Sole Proprietor, and Partnerships:

Name of bank *

Bank Sort Code

Current Order Value

Bank Address

Bank Account No *

Current Order Delivery date

Have High Court and/or County Court Judgements been registered against your business?

What is the name of Silicon Devices Salesperson you have been dealing with? (if applicable)

What is your average monthly spend with other IT distributors?

Do you intend to trade with Silicon Devices on a regular basis?

What is your preferred method of payment with Silicon Devices?

Please provide three independent referees who can speak for the required credit limit including one other IT distributor:

Company Name 1

Company Name 2

Company Name 3

Address 1

Address 2

Address 3

Post Code 1

Post Code 2

Post Code 3

Tel Number 1

Tel Number 2

Tel Number 3

Contact Name 1

Contact Name 2

Contact Name 3

We're Here To Help!

Name

Email Address

Address

Residential/Business

Message



Office

37 Juniper Drive, Newcastle Upon
Tyne, England, NE4 9BF



Hours

Mon – Fri: 9am – 6pm
Sat – Sun: Closed



Call Us

+44 (0)20 3900 0069