Please fill out the application form below if you are a JBT rated retail jeweler and
would like to setup a credit account with M. Geller.
In order to process your application and comply with the United States Patriot Act,
this form must be complete and signed.
Please print, sign and fax this form back to our office at 312.984.0172. An M. Geller
representative will contact you within 2 working days.
M. Geller PDF Credit Application Form