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The more information you can provide us, the faster your account will be processed.

Company Name *

Trade Name (if different from Company Name)

Business Telephone *

FAX

Company Email Address

Website

Facebook

Instagram

Buying group : Select buying group of which you are a member

SJO IJO RJO CBG PRIME LJG BIG

How did you hear about us?

Address Information

Bill To

Address Line 1 *

Address Line 2

Zip *

City *

State *

Ship To (PO Boxes not allowed)

Same as Bill To

Address Line 1 *

Address Line 2

Zip *

City *

State *

Request Catalog

Contact Information

Please note, the Main Contact’s email will be the primary email used to create a web login to our website, as well as where order tracking information will be sent. You will receive a confirmation at that email once your account is approved.

Main contact*

First Name*

Last Name*

Phone number*

Email*

Accounts payable

Same as Main Contact

First Name

Last Name

Phone number

Marketing manager

Same as Main Contact

First Name

Last Name

Phone number

Type of Business

Wholesaler

Retail Jewelers with Multiple Locations/Stores

Manufacturer

Department Store

E-Commerce

Retail Jeweler

Number of years in business

How would you like to do business with RCI? *

Credit Terms

Credit Card

Credit amount

JBT Number

JBT Phone number

Trade References (We highly recommend adding at least 3 references)

Company Name *

Person to Contact

Phone Number

Please click on 'SAVE REFERENCE' button after entering the Trade Reference details.

Resale certificate #/Tax Exempt # *

Is your company AML (Anti Money Laundering) Complaint pursuant to the USA Patriot Act *

Yes

We have or will be installing an AML Program

We will not institute an AML program due to our status as an ‘exempt’ retailer

Digital signature

Comments /1000 characters remaining

The information provided above is accurate to the best of my knowledge. * GUARANTEE: In order to induce Royal Chain INC., (Hereinafter "RCI"). To sell merchandise and extend credit to your company the undersigned personally guarantees the prompt payment of any, and all indetedness which may be incurred by the applicant to RCI, and in the event of any default at any time by the applicant, RCI shall be entitled to look to the undersigned guarantor(s) immediately for such payment without prior demand or notice. In the event this account must be referred to an attorney or any agency For collection any indebtedness owed by the guarantor or the applicant to RCI the guarantor agrees to pay all reasonable costs thereof including collection Fees, reasonable attorney Fees, court costs and expenses incurred in connection therewith. *

Applicant Name *

Date *

By submitting this application, you agree to receive marketing communication from Royal Chain Group. You may opt out of receiving such communications at any time.