Please download and complete the following document. You may fax it to us at (209) 551-6008, or you may email it to info@francosilversmiths.com

Franco Silversmiths Inc.

P.O. Box 579435 Modesto, CA. 95357 U.S.A. 1 (877) 6FRANCO Fax: 1 (209) 551-6008

WHOLESALE APPLICATION FORM

Business Name                                                                                                                                                 

Parent Company or Branch Names                                                                                                            

Number of Locations                                                                                                                                        

Billing Address                                                                                                                                                  

City                                                                  State                                       Zip Code                                   

Shipping Address                                                                                                                                              

City                                                                   State                                       Zip Code                                   

Business Phone (     )                                                              Fax: (      )            ________                         

Years in Business                                   Resale Number                                                                           

Type of Business -   Sole Proprietorship         Corporation           Partnership       Other

 Name of Principles

Title                        Name                                      Address

                                                                                                                                                                          _

Bank References

Bank Name                                                              Contact                                                                      

Address                                                                                                      Phone Number (     )                   

Bank Name                                                              Contact                                         

Address                                                                        Phone Number (     )                  

 Business References

Company Name                    Address                         Phone Number                Contact

                                                                                                                                                                          _

 I HEREBY CERTIFY THAT ALL THE ABOVE INFORMATION IS ACCURATE TO THE BEST OF MY KNOWLEDGE. I ALSO UNDERSTAND THAT ANY VERBAL TRADE OR ORDER PLACED BY A REPRESENTATIVE OF MY COMPANY CREATES A BINDING CONTRACT BETWEEN FRANCO SILVERSMITHS INC. AND MY COMPANY. IN ADDITION, I AGREE TO PAY ALL COSTS OF COLLECTION, INCLUDING REASONABLE ATTOURNEY’S FEES AND COURT COSTS. AS PRINCIPAL OWNER OR REPRESENTATIVE OF APPLICANT COMPANY, I HEREBY PERSONALLY GUARANTEE ALL DEBTS INCURRED BY SAID COMPANY WITH FRANCO SILVERSMITHS INC.