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Prestigio Jewelers Credit Application
Apply online by filling in the form below or call
1-800-746-2419
Our operators are standing by to accept your application.
Please tell us about yourself
First Name *
MI
Last Name *
Social Security # *
xxx-xx-xxxx
Driver License Number
State
Select
AA APO/FPO
AE APO/FPO
AP APO/FPO
AL
AK
AR
AZ
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Date of Birth *
mm/dd/yyyy
Address *
Apt/Suite#
City *
State *
Select
AA APO/FPO
AE APO/FPO
AP APO/FPO
AL
AK
AR
AZ
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip *
Home phone
xxx-xxx-xxxx
Email Address
Please tell us about your employment
Employer (Give Full Name)
Length of Employment
yrs
mos
Title / Position
Gross Monthly Income *
$
number only
Spouse or other applicant
First Name
MI
Last Name
Social Security #
xxx-xx-xxxx
Driver License
State
Select
AA APO/FPO
AE APO/FPO
AP APO/FPO
AL
AK
AR
AZ
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Date of Birth
mm/dd/yyyy
Address
Apt/Suite#
City
State
Select
AA APO/FPO
AE APO/FPO
AP APO/FPO
AL
AK
AR
AZ
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip
Home Phone
xxx-xxx-xxxx
Relationship to Applicant
Anniversary Date
mm/dd/yyyy
Employer (Give Full Name)
Length of Employment
yrs
mos
Employment Phone
xxx-xxx-xxxx
Salary
$
leave it blank for 'n/a'
Each person signing, below acknowledges and agrees:
I understand that I may apply for this account in my name, alone, regardless of my marital status.
I authorize you to inquire about my credit experience and employment from whatever sources you choose.
You may keep this application whether or not it is approved.
All of the above information is complete and accurate to the best of my knowledge.
I hereby authorize the Prestigio Jewelers, Inc. Credit Department to make whatever credit inquiries it deems necessary in conjunction with this application. I also declare that all information is true and correct. THE FOLLOWING INFORMATION IS PROVIDED PURSUANT TO THE ARELLAS-ROBBINS RETAIL INSTALLMENT ACCOUNT FULL DISCLOSURE ACT - 1986. Credit card terms may vary among retail seller-selected terms for under this retail installment account are set out as follows. FINANCE CHARGES. You will be required to pay Finance Charges on PURCHASES all extensions of credit that are not paid off in the same month. We will calculate the finance charge by multiplying your average daily balance by 2.25% (equal to an ANNUAL PERCENTAGE RATE of 27.00% with minimum FINANCE CHARGE of 50cents. NO ANNUAL FEES
.
I HAVE READ THE ABOVE INFORMATION & ACCEPT THE TERMS
Please type your full name :
Today's date:
mm/dd/yyyy