Premier Diamond Center - Application For Credit

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Premier Experience

Application For Credit

If you apply for credit at most jewelry stores, you could end up paying as much as 20-22% interest on your purchase. When you apply for Premier Credit from Premier Diamond Center, we charge just 1% per month or 12% annually - a substantial savings. If you decide to apply using the form below, you can rest assured that all of your personal information is secure. Once you are approved, you can come to Premier Diamond Center ready to buy the diamond of your dreams.

* denotes a required field
1. Enter Personal Information

* First Name:
Middle Name:
* Last Name:
* Social Security #:
* Birth Date:		(MM/DD/YYYY)

2. Enter Address and Residential Information

* Previous Address:
* Current Address:
* City:
*State:
*Zip:

3. Enter Contact Information

* Email address
* Home Phone:
* Work Phone:


4. Enter Employment History

* Current Place of Employment:
* Employers Address:
* Occupation:
*Length of Employment:
* Annual Income: (Wages and other income)
* Are you currently behind in any payments to your creditors? If yes please identify and explain
* Employment History of the Last 5 Years
* Place:
* Length:
Place:
Length:



Tell us about the diamond you are shopping for.



The undersigned applicant acknowledges that the information contained in the form is true and accurate and is to be used for the purpose of determining whether or not Premier Diamond Center will grant said applicant credit though store.
* By checking the box It is acknowledged and authorized by said applicant that we will obtain a credit report from one or more various agencies prior to final acceptance of application.