Shine BiMetal

New Account Form


Shine Bimetal LLC

P. O. Box 7352
Clearwater, FL 33758
800-710-1050
[email protected]

If you have any questions about this document or need assistance, please don't hesitate to call or email us.

Company/Name:

Physical Address:

Shipping Address (if different):

City:

 

State:

Zip/Postal Code:

 

Business Phone:

Fax:

Email:

Type of Organization:   

Years in Business:

Tax ID#:

SSN# (if a sole proprietorship)

Type of Business/Industry:

Are precious metals essential to the business:   

Please explain:

 

Approximate annual use in ounces of bi-metal in 18kt. gold:

Approximate annual use in ounces of bi-metal in 22kt. gold:

Initial Order in ounces of bi-metal in 18kt. gold:

Name of Principals or Owners:

Name Title

Name Title

 

Trade References:

Name Contact: Phone:

Name Contact: Phone:

Name Contact: Phone:

 

Name of person placing order: Phone:

 

I certify that the above is true and correct.

 

 

 

Leave this empty:

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Signature Certificate
Document name: New Account Form
lock iconUnique Document ID: 2b7d22e88f1cfd78176e413b732534f309471828
Timestamp Audit
January 25, 2021 3:23 pm EDTNew Account Form Uploaded by Shine BiMetal - [email protected] IP 35.137.235.130
Audit trial Qr code
This audit trail report provides a detailed record of the online activity and events recorded for this document.
https://shinebimetal.com/
Audit Trail Serial# 67882a3cdc3acd5081f573783fca58d4