JEWELARC INTERNATIONAL
NEW CUSTOMER INFORMATION
* Business/Company Name :
Trading Name :
* Description of Business :
(e.g. Nature, size, turnover,territory, ranking)
*Physical Address :
Mailling Address :
(if different)
Ship to Address :
Shipping & Insurance Account Details :
All Contact Details:
 Owner/Management
 Buyer/Orders
 Accounts
* FullName :
* Phone :
* Email :
 Owner/Management
 Buyer/Orders
 Accounts
FullName :
Phone :
Email :
 Owner/Management
 Buyer/Orders
 Accounts
FullName :
Phone :
Email :
Are you a member of buying group? :
Which group? :
Member no. :
Which catalogue do you want to access :
 Charmour Catalogue (Finished Product)
Std Ring Sizes-Ladies :
Shanks :
Std Ring Sizes-Gents :
Product/QC Notes :
Other Notes :
Blank