2 West 46th Street, New York, NY 10036
Tel: (212) 382-3340 (800) 622-0960
Fax: (212) 730-7616 (800) 262-4246
E-mail: creditapp@royalchain.com
CREDIT APPLICATION- SUBJECT TO VERIFICATION, WILL BE REVIEWED ONLY WHEN FULLY COMPLETED AND SIGNED IN BOTH PLACES INDICATED. (*)
Company Name
Trade Name (if Different)
Address
City State Zip
Telephone Fax
Email Address Referred By
Type of Organization: Type of Business:
Corporation Partnership Wholesaler Chain Manufacturer
Individual Owner
Store
Company
Jeweler
Number of years in business:
Are you listed in the JBT Directory? Yes
No
Name of Principals or Owners: JBT #
Request Catalog:
Credit Card Number Expiration Date Securiy Code CVV
Person in charge of Accounts Payable: Credit Amount Requested:
Bank Reference:
Name of Institution City, State Account #
Phone # Fax # (Required) Bank Officer
Trade References:
Name City, State Phone # E-mail or Fax # (REQUIRED) Person to Contact
Name City, State Phone # E-mail or Fax # (REQUIRED) Person to Contact
Name City, State Phone # E-mail or Fax # (REQUIRED) Person to Contact
Name City, State Phone # E-mail or Fax # (REQUIRED) Person to Contact
Resale certificate #/Tax Exempt #
The information provided above is accurate to the best of my knowledge.
*Is your company AML (Anti Money Laundering) Complaint pursuant to the USA Patriot Act
Yes _______ We have or will be installing and AML Program
No _______ We will not institute an AML Program due to our status as an "exempt" retailer
*SIGNATURE DATE
*SIGNATURE PRINT NAME
*Signatures required. March 2021
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 INDEBTEDNESS 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.
