JEWELARC INTERNATIONAL
NEW CUSTOMER INFORMATION
* Business/Company Name :
Description of Business :
(e.g. Nature, size, turnover,territory, ranking)
*Physical Address :
*Contact :
Mobile :
* Email :
Fax :
* Phone :
Name
Position
Phone
Email
Orders Contact :
Accounts Contact :
Management Contact :
Product/QC Notes :
Std Ring Sizes-Ladies :
Shanks :
Std Ring Sizes-Gents :
Ship to Address :
Shipping & Insurance Account Details :
Which catalogue do you want to access :
 Jewelarc Catalogue (Finished Product)
 Charmour Catalogue (Finished Product)
 Amaya Catalogue (Findings Only)
Other Notes :
Jewelarc :
Customer :
Date :