LALI Jewels - New Customer Registration Form

New Customer Registration Form

KYC - Know Your Customer
I hereby certify that i am an owner/officer/manager. If you are not, please forward link to someone in your company with such credentials. *

I am an owner/officer/principal I am NOT an owner/officer/principal
Company name: *
Store name, Legal business name or DBA: *
if operating under "company name" please re-type
JBT ID # *
Website *
please include WWW - if no website please type na.com OR list a social media page
Name - Primary Contact *

Prefix First Name Last Name
Title/Position - Primary Contact *
Primary Store Phone # *

Area Code Phone Number
Primary Mobile Number *

Area Code Phone Number
Primary E-mail *

Confirmation Email

Billing Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Billing Contact *

Prefix First Name Last Name
Billing Phone # *

Area Code Phone Number
Billing E-mail *

Confirmation Email example@example.com

Shipping Address (MUST complete, if same as "billing" kindly re-type again) *

Street Address
Street Address Line 2
City	State
Zip Code	Country

How many stores do you currently operate: *
this includes any e-commerce websites and all physical stores, combined. If no physical stores please enter "1". If one physical store and one e-commerce store please enter "2".
Are you a member of the following buying group: *

CBG - Continental Buying Group. LJG - Leading Jewelers Guild. RJO - Retail Jewelers Organization. waive benefits OR not part of above buying groups
Please list at least three trade references: *
list separately, per line and include company name, contact and phone #
Who is your account representative? *
How or where did you hear about LALI Jewels? *
Signature *

confirm details of form Clear
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CONSIGNMENT CONSENT FORM

*in the event goods are offered on consignment, LALI Jewels requires this form
CONSIGNOR: LALI JEWELRY INC, dba LALI Jewels, a New York corporation.

Principal office location: 50 West 47th Street, Suite 1610, New York, New York 10036.
CONSIGNEE, FULL BUSINESS LEGAL NAME (must match corporation name) *
STATE OF FORMATION *
ORGANIZATION TYPE (CORP./LLC) *
1. Consignor agrees to ship certain merchandise on consignment to Consignee.

2. Consignee agrees to receive and accept the consignment merchandise from Consignor and sell it in the ordinary course of business.

3. Agreement terms: No time limit.

4. Termination: Consignor has the right to recall the merchandise at any time.

PRINCIPAL OFFICE LOCATION *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Consignee will provide sales report: (Please select one) *

Weekly, Bi-weekly, Every two weeks on 15th and 30th of the Month Monthly, before 10th day of the Month
Consignee will make payment to the Consignor: (Please select one) *

With the sales report 10 days after receiving the invoice
Consignee agrees that Consignor has the right to file any UCC financing statement, amendment or other document on the consigned goods and proceeds. *

Yes, LALI Jewels has my consent to file UCC as necessary (Consignment may be offered) No, LALI Jewels does not have my consent (Consignments will not be available)
Consignee Name *

First Name Last Name
PLEASE CONFIRM, FULL BUSINESS LEGAL NAME *
Your Title *
Signature *

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Date *

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MEMORANDUM & INVOICE DISCLOSURES

please read thoroughly, then sign at the bottom
MEMORANDUM DISCLOSURE:
Pricing subject to change without notice. LALI reserves its rights to modify any information without notice.The goods described and valued herein are delivered to you for EXAMINATION AND INSPECTION ONLY and are the property of LALI Jewelry Inc. and are subject to its order and shall be returned to LALI Jewelry Inc. upon demand. Such merchandise, until returned to LALI Jewelry Inc. and actually received, are at your risk from all hazards. NO RIGHT OR POWER IS GIVEN TO YOU TO SELL, "LAYAWAY", PLEDGE, HYPOTHECATE OR OTHERWISE DISPOSE OF THIS MERCHANDISE regardless of prior transactions. A sale of this merchandise can only be effected, and title will pass, only if and when LALI Jewelry Inc. shall agree to such sale and a bill of sale has been delivered by LALI Jewelry Inc. Consignee (i.e., you) warrants, represents and agrees that the goods herein delivered, shall not be removed from the unique tag supplied by consignor (i.e., LALI Jewelry Inc.) and/or attached by consignee and that the goods while attached to such tags are unique and identifiable, such goods shall not be commingled or intermingled with any other goods nor shall the proceeds of sale of consignor’s merchandise be commingled with other proceeds, but shall be held in a segregated account. Consignee warrants, represents and agrees that consignee has sufficient “self-risk” insurance in effect with a reputable insurer to cover the full value of the goods subject of this memorandum and any other obligations hereunder. It is further agreed and warranted by the consignee that consignor may make claim upon consignee’s insurer(s) and any of consignee’s policies for any loss hereunder. In any such claim, consignee and its officers, directors, stockholders and employees and anyone that may be subject to their control shall fully cooperate with consignor and/or its representatives and attorneys and perform all actions, execute all instruments, attend meetings, trials and hearings and testify at all proceedings when requested, without remuneration of any kind. Any insurance claim by consignee or under its policy(ies) wherefore described shall be settled and adjusted exclusively with and paid to the consignor to the extent of the consignor’s interest hereunder, which shall include all obligations hereunder and thereafter accruing interest, attorney’s fees, disbursements and consequential damages. Further, the proceeds of any claim(s) on the consignee’s insurance or upon the consignee’s insurer(s) is assigned to consignor to the extent of consignee’s full liability for all of its obligations under this memorandum. The consignor is hereby granted an irrevocable and first-priority security interest in the proceeds of sale of consignor’s merchandise and a security interest and lien on all the goods, credits, assets, receivables, inventory and fixtures of consignee or in which consignee has any interest of whatever kind and/or nature and this security interest is given to induce consignor to enter into this transaction and secure consignee’s obligations hereunder. Consignor may execute on behalf of consignee all instruments and/or terms and/or certificates necessary to perfect and/or file its security interest as may be required by the laws of any state and/or the Uniform Commercial Code, without notice to consignee. With respect to any litigation arising hereunder, the parties agree to the exclusive jurisdiction of the courts of New York State and that New York law shall exclusively apply. If the consignor is required to bring any action against consignee and/or its insurer(s), the consignee agrees to pay consignor an additional amount in and for consideration of attorney’s fees to be liquidated at 25% of the value of all the goods listed on this memorandum or the total reasonable value of consignor’s attorney’s fees, whichever is greater. Due to variances in gold weights, please note that there may be up to a 5% variance in the gold weight, which may not already be reflected on this memorandum. Due to variances in diamond weights, please note that there may be up to a 2% variance in the Diamond Carat weight, which may not already be reflected on this memorandum. Due to variances in gemstone weights, please note that there may be up to a 10% variance in the Gemstone Carat weight, which may not already be reflected on this memorandum. Pearl quantity counted as per first production sample. This is only an approximate quantity, as pearls may vary slightly in size and the quantity adjust subject to the total length of the item. The diamonds herein reflected on this memorandum have been purchased from legitimate sources not involved in funding conflict and in compliance with the United Nations Resolutions. LALI Jewelry Inc. guarantees that these diamonds are conflict free, based on personal knowledge and/or written guarantees provided by the supplier of these diamonds. LALI Jewelry Inc. certifies that the diamonds herein are natural, untreated diamonds unless otherwise stated. Many gemstones are routinely treated with heat, dyes, pressure and/or other processes to improve the color or clarity of the stone. These treatments may not be permanent, may cause the need for special care and/or may affect the value of the stone. Many enhancements are difficult to detect without sophisticated instruments. The gems herein reflected on this memorandum may have been so treated. LALI Jewelry Inc. hereby warrants that the irradiated gemstones (or jewelry containing irradiated gemstones) subject to this memorandum were initially imported and distributed in the U.S. in compliance with U.S. licensing regulations.
INVOICE DISCLOSURE:
Pricing subject to change without notice. LALI reserves its rights to modify any information without notice. LALI ACCEPTS ALL MAJOR CREDIT CARDS (4% processing fee may apply), BANK WIRE TRANSFERS AND CHECKS, PAYABLE TO: "LALI JEWELS". Merchandise may not be returned without the written permission of LALI Jewelry Inc. All claims must be made within five (5) business days after receipt of goods or the return, if approved, will be subject to a 10% restocking fee. In the event LALI refers accounts for collection of amounts due, buyer agrees to pay the attorney’s fees and collection agency’s fees with interest and the costs of the court. Interest shall be calculated at 1.5% monthly and 18% annually. All outstanding balances in the accounts must be cleared and paid by December 31st of the current calendar year. Buyer grants LALI power of attorney to file a financing statement in the appropriate jurisdiction if account is not paid in full within 30 days past terms and LALI also reserves the right to put a lien on buyer’s business. Furthermore, a stockholder, director and/or officer of the corporation personally guarantees payment of the outstanding balance owed to LALI upon demand. Signing for delivery by any method constitutes acceptance of the terms of this invoice. Buyer agrees that venue and jurisdiction shall be New York County. Due to variances in gold weights, there may be up to a 5% variance in the gold weight. Due to variances in diamond weights, there may be up to a 2% variance in the Diamond Carat weight. Due to variances in gemstone weights, there may be up to a 10% variance in the Gemstone Carat weight. Gemstone, Diamond and Gold weight may not already be reflected on this invoice. Pearl quantity counted as per first production sample. This is only an approximate quantity, as pearls may vary slightly in size and the quantity adjust subject to the total length of the item. The diamonds herein invoiced have been purchased from legitimate sources not involved in funding conflict and in compliance with the United Nations Resolutions. LALI Jewelry Inc. guarantees that these diamonds are conflict-free, based on personal knowledge and/or written guarantees provided by the supplier of these diamonds. LALI certifies that the diamonds herein are natural, untreated diamonds unless otherwise stated. Many gemstones are routinely treated with heat, dyes, pressure and/or other processes to improve the color or clarity of the stone. These treatments may not be permanent, may cause the need for special care and/or may affect the value of the stone. Many enhancements are difficult to detect without sophisticated instruments. The gems being sold herein may have been so treated. LALI hereby warrants that the irradiated gemstones (or jewelry containing irradiated gemstones) subject to this invoice were initially imported and distributed in the U.S. in compliance with U.S. licensing regulations.
I agree to the MEMO and INVOICE disclosures as noted above. PLEASE SIGN:

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New Customer Registration Form

CONSIGNMENT CONSENT FORM

MEMORANDUM & INVOICE DISCLOSURES