SHAUN GEMS INTERNATIONAL LTD.

ONLINE CREDIT APPLICATION

A credit application is also available to be submitted via fax, or standard mail.

click here for our printer friendly version.

 

Today's Date:                                    

Company Name:               

Principal Owner:                

Address:                            

City:                                                  

State:                                              Zip:

Telephone:                                                         

Fax:                                    

E-Mail:                               

Bank:                                 

Years in business:              

Please select your company description from the following:

Wholesale  Retail  Special order Mfg.   Other

 

In order to complete your application we ask that you provide us with at least three credit references of companies preferably in the New York area.

Company 1:

Company
City, State
Tel
Contact

 

Company 2:

Company
City, State
Tel
Contact

 

Company 3:

Company
City, State
Tel
Contact

 

Please include your order, along with any other questions,

or comments in the space provided below:

      

 

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