JavaScript seems to be disabled in your browser.
You must have JavaScript enabled in your browser to utilize the functionality of this website.

FREE CAD DESIGNS ON ALL CUSTOMER JEWELRY PRODUCTS

PHONE

Toll-free: 800-527-7617

Business Hours

Monday-Saturday: 9:00am-7:00pm CST

Fax: 972-233-3363

CALL US

EMAIL

sales@shopagi.com

We will reply to you within

24 business hours.

EMAIL US

CHAT

VISIT US

View products at our showroom,

or request a visit from our sales rep.

5757 Alpha Road, Ste. 505

Dallas, TX 75240

APPOINTMENTS

SHIPPING AND MEMO POLICY

Orders are shipped via FedEx. Orders above $4,000 are shipped via FedEx overnight. Consignment and memo services available upon check-out page.

My Account
Authorized Dealer Login

Your one-stop source for jewelry, diamonds and gemstones

Welcome to the home of Authentic Gem Imports. In order to shop these products, please log in with your authorized dealer account..

Create a New Account

Registered Customers

If you have an account with us, please log in.

Home »
AML Patriot Act Form

AML Patriot Act Form

Please fill out the form below or download the PDF and fax it to us at 972-233-3364 or email it back to us at sales@shopagi.com.

Store & Contact Information

Legal Business Name *

Trade Name (if different)
Name of Owners/Directors *
Address *
City *

State *
Postal/Zip Code *

Phone Number *
Fax Number

Email *
Website
Tax ID Number *

Resale Number *

Banking Information

Bank Name *
Bank Address *
City *

State *
Postal/Zip Code

Country

Authorization

Have you or are you in the process of establishing an AML Program in accordance to the U.S. Patriot Act? *
- Yes
- No
I certify that the above information is true and correct, and that I will provide any documentation upon request. *

Full Name
Title *

Date *

* Required Fields

PHONE

EMAIL

VISIT US

SHIPPING AND MEMO POLICY

AML Patriot Act Form

Store & Contact Information

Banking Information

Authorization

PRODUCTS

SERVICES

OUR COMPANY

PHONE

EMAIL

VISIT US

SHIPPING AND MEMO POLICY

Registered Customers

Retrieve your password here

New Customers

AML Patriot Act Form

Store & Contact Information

Banking Information

Authorization

PRODUCTS

SERVICES

OUR COMPANY