Instant Credit Application Form

If you wish to apply for an Instant free Credit Account please fill in the form below.

Originally designed to replace the need for Pro Forma Invoices which are costly and time consuming to administer, our Instant Credit Account has proved to be incredibly popular with SME customers. Once a simple one page application form has been completed we will open an online credit account facility.

The account is limited to a total spend of £500 and must be paid in full within 30 days of the invoice date. We do not require references, but you must be a UK Limited Company* and have been trading for a minimum of one year.

Usually these accounts are activated on the same day and allow you to place your order online within a few hours of submitting the application.

**Currently ALL credit accounts are not available to sole traders or partnerships. We reserve the right to perform a credit check on the Company details as provided. Completing an application does not guarantee an account will be authorised

Company Details

Please enter a valid Company, the maximum length is 50 charactersPlease enter a Company name Company Name *

Please enter the first line of your AddressPlease enter a valid first line of your Address, the maximum length is 50 characters Address Line 1 *

Please enter a valid second line of your Address, the maximum length is 50 characters Address Line 2 *

Please enter a valid third line of your Address, the maximum length is 50 characters Address Line 3 *

Please enter a Town / CityPlease enter a valid Town / City, the maximum length is 50 characters Town / City *

Please enter a State / Province / TerritoryPlease enter a valid County / State, the maximum length is 150 characters County / State *

Please select a State / Province / TerritoryPlease select a valid State / Province / Territory, the maximum length is 50 characters State / Province / Territory *

Please enter a Postcode / Zip CodePlease enter a valid Postcode / Zip CodePlease select a valid Postcode / Zip Code, the maximum length is 20 characters Postcode / Zip Code *

Please select a Country Country *

Please enter a Contact NumberPlease select a valid Contact Number, the maximum length is 30 charactersPlease enter a valid Contact Number consisting only of the following characters & spaces ( ) + 0 1 2 3 4 5 6 7 8 9Please enter a Contact Number Contact Number *

Please enter a Company Registration No.Please enter a valid Company Registration No., the maximum length is 30 characters. Company Registration No. *

Please select a valid Fax Number, the maximum length is 30 charactersPlease enter a valid Fax Number consisting only of the following characters & spaces ( ) + 0 1 2 3 4 5 6 7 8 9 Fax Number *

Please enter a VAT Number or Tax IDPlease enter a valid VAT Number or Tax ID, the maximum length is 50 characters.Your VAT Number is not valid. Please check or contact SilMid VAT Number or Tax ID *

Contact Details

Please enter a Purchasing Contact NamePlease select a valid Purchasing Contact Name, the maximum length is 30 characters Purchasing Contact Name *

Please enter an Account Contact NamePlease select a valid Account Contact Name, the maximum length is 30 characters Account Contact Name *

Please enter a valid Email AddressPlease enter a valid Email AddressPlease enter a valid Email Address, the maximum length is 75 characters Purchasing Email Address *

Please enter a valid Email AddressPlease enter a valid Email AddressPlease enter a valid Email Address, the maximum length is 75 characters Account Email Address *

Terms

Please agree to our terms below

I/ We agree to payment in full within strict 30 days from date of invoice:

Please tick the box to agree our payment terms Yes

I/We agree to Sil-Mid Limited Standard Terms and conditions of sale:

Please tick the box to agree our terms and conditions Yes

I/We have attached a copy of our company letterhead:

Please tick the box to complete your application Yes

Please Upload a File Upload File *

Please enter Your Name Please enter a valid Your Name, the maximum length is 25 characters Your Name *

Please enter Your PositionPlease enter a valid Your Position, the maximum length is 25 characters Your Position *

Please enter a valid Email AddressPlease enter a valid Email AddressPlease enter a valid Email Address, the maximum length is 75 charactersThe Email Address entered is already registered, please sign in with the Email Address or enter a different one Email Address *

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Instant Credit Application Form

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