R•Findings
CONFIDENTIAL ACCOUNT APPLICATION
(Subject to verification. Will be reviewed only when completed in full.)

I authorize the named bank and trade references to release information regarding my business accounts.

The following information is being offered in consideration of the following terms
(please check one):

Open Account, Net 30 with desired credit limit of $
Credit Card (Visa, Mastercard, Discover)
C.O.D. (Company Check)
 
THIS APPLICATION WILL NOT BE PROCESSED UNLESS
ALL INFORMATION IS COMPLETED IN FULL.
Company Name:
DBA:
Billing Address:
City:  State:   Zip:
Phone:
Fax:
Email:
Shipping Address:
City:  State:  Zip:
Tax ID Number
JBT Listed Yes   No
JBT ID No.
Date Business Established: (month/day/year)
Resale Certificate #:
Type of Company: Individual    Partnership    Corporation
Business Type: Retail
Trade/Repair Shop 
Wholesale
Retail Mfg
Wholesale Mfg
Other (Specify)
Business Location: Retail Center
Office Space
Mfg Plant
Home
Other (Specify)
Key Employees
Owner/Officer:
 (Name and Title)
Authorized Buyers: (Name and Title)
Bench Jeweler:
 (Name and Title)
Financial Contact:
 (Name and Title)
Bank Information
Bank Name:
Address:
City: State: Zip:
Bank Contact:  
Phone:
Checking Account No.
Trade References Gold Suppliers Only – No Gem or Diamond References:
Company Name:
Address:
City: State: Zip:
Phone:
FAX No.:
(Must have fax number to expedite processing)
Company Name:
Address:
City: State: Zip:
Phone:
FAX No.:
(Must have fax number to expedite processing)
Company Name:
Address:
City: State: Zip:
Phone:
FAX No.:
(Must have fax number to expedite processing)
Confidential Account Application. Download and complete if you would rather fax the application to 888-243-5484.
The Terms of Sale must be completed and submitted via mail or fax
(888-243-5484).
The NYS Resale Certificate must be completed and submitted by all
New York State residents via mail or fax (888-243-5484).
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