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Bank Reference
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Trade References
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Please review your information. If you need to make a change, use the links above to go back and edit your input. After you've verified everything is correct, click the Send button to submit your application.
Business Information
Name: 
Legal Name: 
Address Line 1: 
Address Line 2: 
Suite or Building: 
City: 
State: 
Zip: 
Federal ID: 
JBT Number: 
Phone Number: 
Fax Number: 
Email Address: 
Website: 
Bank Reference
Bank Name: 
Address Line 1: 
Address Line 2: 
Suite or Building: 
City: 
State: 
Zip: 
Branch Name: 
Contact Name: 
Contact Phone Number: 
Account Number: 
Company Principle
First Name: 
Last Name: 
Address Line 1: 
Address Line 2: 
Suite or Building: 
City: 
State: 
Zip: 
SSN: 
Phone Number: 
Authorized Buyers
First Name: 
Last Name: 
First Name: 
Last Name: 
Trade Reference
Firm Name: 
Address Line 1: 
Address Line 2: 
Suite or Building: 
City: 
State: 
Zip: 
Phone Number: 
Fax Number: 
Trade Reference
Firm Name: 
Address Line 1: 
Address Line 2: 
Suite or Building: 
City: 
State: 
Zip: 
Phone Number: 
Fax Number: 
Trade Reference
Firm Name: 
Address Line 1: 
Address Line 2: 
Suite or Building: 
City: 
State: 
Zip: 
Phone Number: 
Fax Number: 
Trade Reference
Firm Name: 
Address Line 1: 
Address Line 2: 
Suite or Building: 
City: 
State: 
Zip: 
Phone Number: 
Fax Number: 
Terms & Conditions

 
In consideration of credit extended, I/We personally guarantee full and prompt payment according to terms granted of all invoices rendered. All past due indebtedness shall be subject to interest at the maximum rate allowed by law until paid. If My/Our account is placed in the hands of an attorney for collection, or if collection is made through bankruptcy or probate proceedings, I/we agree to pay a reasonable amount in attorney's fees on both the principal and interest charge. All charges are due and payable in full at 2300 W. Ridge Rd., 4th Floor, Rochester, NY 14626. It is agreed that venue for any legal action or suits shall be Rochester, Monroe County, NY and the laws of the State of New York shall have jurisdiction in such actions or suits. Notwithstanding billing agreements, the undersigned accepts personal liability as insurer of the items received and guarantees payment of the purchase price set forth above. I/We agree to furnish financial information or statements as requested. I/We verify that all information supplied is true and correct.

 
Signing this application gives RDI Diamonds express permission to obtain business and personal credit information.
 

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Print and Fax Instead

Print and fill out this form: Open Account Form

Print and fill out this form: NYS Resale Certificate

Fax everything to: +1 (844) 742-6591