• 1080 Paul Bunyan Drive NW, Bemidji, Minnestoa 56601 Phone (218)751-1433

     

     CREDIT APPLICATION

    Please submit your credit application 24 hours prior to ordering.

    Upon completion and submission of your application,

    Ken K. Thompson Jewelry will contact you with approval status.

  • Credit Application

  • PERSONAL INFORMATION

  • Date of Birth

  • Current Address Information

  • EMPLOYMENT INFORMATION

  • Current 

  • Previous Employer - if less than 12 months at current employer

  • ADDITIONAL INFORMATION

  • Expiration Date

  • Major Credit Card Issuer

  • OTHER SOURCES OF INCOME

  • CUSTOMER AUTHORIZATION

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