Orli Diamonds

Credit Application

Fill in our on-line form below or download the PDF form and mail to Orli Diamonds.

Company:

Contact:

Email:

Address:

City:

State:

Zip Code:

Phone:

Fax:

Business Type:

Individual

Partnership

Corporation

Business:

Retail

Wholesale

Manufacturer

Number of years doing business under present name:
Resale certificate #:
Credit Line requested:
Terms requested:

Principals (Owner -- Partners -- Officers)
Name, Title, and Socical Security number

Bank References
Name, Address, and Bank Account number

Credit References
Company, Address, Contact, and Phone number

Phone Toll Free 800-621-2185 or send E-mail to orli@orlidiamonds.com

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