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Mountings & Findings

I (WE) SUBMIT THE FOLLOWING INFORMATION IN APPLYING FOR AN OPEN ACCOUNT:Business Name:Address: City: State: Zip: E-mail: Telephone: Fax:Shipping Address: City: State: Zip: E-mail: Telephone: Fax:A/P Contact: Website:Business Type: q Manufacturer q Wholesaler q Retailer q Retail Mfg. q OtherCOMPLETE APPLICABLE SECTION: q Individual* q Partnership* q Corporation*Subsidiary of:Do you operate under any other names? q Yes q No If yes, state company name(s) and address(es) (Add additional sheets if necessary)Name:Address: City: State: Zip: Owners , Officers , Directors , or Partners names, addresses and Social security numbers (add additional sheets if necessary):1.

Our Company is a foreign customer/vendor and complies with our local jurisdiction’s laws for antimoney laundering programs. Our Company is not a dealer in precious metals, stones and jewels as defined in the Interim Final Rule under the USA Patriot Act or is exempt from compliance.

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