RETAIL MEMBER APPLICATION


Required fields - *

Business contact information

Name of Business Applying for Membership*
Headquarters Street Address*
City* State*
Zip Code*Country (if outside U.S.)
Business Phone* Business Fax*
Business Email* Website
General Membership Contact*Title*


Public Relations Contact:

NameTitleEmail

Accounts Payable Contact:

NameTitleEmail

Business Information

Type of Business*


If other please explain:
Number of Stores*
Total# of employees at all locations*
Year Established*
.
Do you use sales/use tax?*

Tax ID number
.
List below the names & addresses of three (3) industry references: (supplier, bank, etc.)*
Name and Address*
Name and Address*
Name and Address*


How did you hear about JA?






payment information

dues schedule

Dues Amount + Application Fee (review chart at right to determine your required dues amount)*

Charge the above amount to my:*


Card Number*
Expiration Date*
Name on Card*
Signature*
# Stores Dues Amount
1
$115
2-9
$115 + $55 per store over 1
10
$610
11-24
$610 + $40 per store over 10
25
$1210
26-49
$1210 + $30 per store over 25
50
$1960
51+
Contact member services at
members@jewelers.org
or 800-223-0673

application fee

$35


code of professional practices

A condition of membership in Jewelers of America is an annual commitment to our Code of Professional Practices. Read the Code and then pledge your commitment to it by checking and signing below.

Click here to read the Code of Professional Practices, then check and sign below.


I have read and, as an individual and as a company, will abide by the Code of Professional Practices. I affirm that I have the authority to make such a commitment on behalf of my company.
Signature*

what you must include with application:

To complete your application, Jewelers of America requires examples of the following supplemental materials. You can upload images, files and scanned copies of documents here. If you do not have electronic files available, please send copies of the following to: By Mail -- Jewelers of America, Member Services, 52 Vanderbilt Avenue, 19 Floor, New York, NY 10017, re: Order Form Reference Material; By Fax -- (646) 658-0256. Your application will not be processed until all supplemental materials are received.

Payment (see Dues Schedule above)

Photo of Store Interior (jpeg, gif)

Photo of Store Exterior (jpeg, gif)

Copy of Business Card or Stationery (doc, pdf)

Copy of Business License (doc, pdf)

Businesses with a physical location, but without a traditional storefront (i.e. by appointment only) must provide a copy of lease agreement. (doc, pdf)





Title