CREDIT APPLICATION

CHARMS PLUS

Click here for printable version. Fax to 704-788-8950 or mail to P.O. Box 165, Concord, NC 28026

CREDIT APPLICATION

* Indicates required field

Contact Name *

First

Last

Store Name *

Phone Number *

Email *

May we send your monthly statements via E-mail? *

Yes No

Address *

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State

Zip Code

Country

Corporation Structure (Choose one) *

Type of Business (Choose one) *

Bank Information *

Contact Person *

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Last

Phone Number *

Address *

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Zip Code

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Are you listed with the JBT *

Yes No

If yes. what is your JBT ID # and current rating *

ACTIVE TRADE REFERENCES (Please note we do not accept references from diamond and watch suppliers)

First Reference

Acct. # *

Contact *

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Last

Business Name *

Address *

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Email *

Phone Number *

Fax Number *

Second Reference

Acct # *

Contact Name *

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Last

Business Name *

Address *

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Email *

Phone Number *

Fax Number *

Third Reference

Acct # *

Contact Name *

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Last

Business Name *

Address *

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Phone Number *

Fax Number *

Credit line desired *

Name *

First

Last

Title *

Date *

PLEASE NOTE:

Accounts past due 30 days or more will be charged interest at the rate of 1.5% per month or 18% annually. In the event this matter has to be referred to an attorney or a collection agency to enforce collection of any indebtedness owed by the undersighed to JKM Enter. DBA Charms Plus the undersigned agrees to pay all reasonable costs thereof, collection fees and reasonable attorney fees.

By the choosing AGREE below, authorization and permission is granted to contact the references listed above for the purpose of verifying available credit information about the company and/or individual named above.

Agree/Disagree *

Agree Disagree

Comment *

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