Supplier Account Application Form

Please complete all sections and submit with a copy of your company letterhead using the upload button link below.

* indicates required field

Company Name *

Invoice Information

Address *

Post Code *

Country *

Telephone (inc STD) *

Company Registration No

Nature of Business *

VAT Registration No

Sales Contact

Sales Telephone

Sales Email

Finance Contact

Finance Telephone

Finance Email

Delivery Information

Address *

Post Code *

Country *

Telephone (inc STD) *

How Long Established (yrs) *

Are you a Limited Company?
YesNo

Turnover *

Name & Address of your Bankers *

SWIFT

Bank Account No *

Sort Code *

DECLARATION – I/We confirm that the goods are new, genuine and in original retail packaging. That they are sourced from the EU and intended for sale in the EU with the consent of the trademark owner. Where goods are not sourced from the EU Red Box must be informed. We indemnify Red Box against any claims by third parties or other relating to the supply of these goods. GDPR Policy - We agree to Red box holding our data for legitimate business purposes. Red Box will not share our data with third parties. We understand that Red Box will delete our data should it no longer be required. We agree that Red Box can contact our company by phone or email during the normal course of business. I/We also acknowledge and accept the Conditions of Purchases laid out in the attached T&Cs. These T&C apply to the purchase and sale of any goods between us to the exclusion to any other terms. *
I accept

Your Name *

Your Email *

Director/Principal/Partner *

On Behalf of *

Upload company letterhead *