SHAUN GEMS INTERNATIONAL LTD.
Credit application.
DATE COMPLETED: ____/_____/____
BUSINESS NAME: ____________________________________________________________
PRINCIPAL OWNER:_____________________________________________________________
ADDRESS: _____________________________________________________________________
CITY:_______________________ STATE: ___________________ ZIP CODE: ______________
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 request that you provide at least three credit references of companies preferably in the New York area.
Please print this page and fax to: (212) 840-2439