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Jurgens Fine Jewelry, Inc. :: Registration

Registration

Register by filling in the form below, which is necessary to place orders and essential to use our services correctly.

The fields marked with * are mandatory.


Registration
Personal information
Title *
First name *
Last name *
Company/School/Organization Name  
Billing Address (if this is a PO Box specify a different shipping address below)
Address *
Address (line 2)  
City *
State *
Country *
Zip/Postal code *

 


Address  
Address (line 2)  
City  
State  
Country  
Zip/Postal code  
Contact Information
Phone *
E-mail *
Fax  
Web site  
Additional information
How you hear did about Jurgens?  
I am a RESELLER (Approval within 2 days)  
Tax ID (REQUIRED for Reseller)  
COMPANY NAME (REQUIRED for Reseller)  
Owner's First Name (REQUIRED for Reseller)  
Owner's Last Name (REQUIRED for Reseller)  
My Shipping Address is in a Residential Zone (REQUIRED for Reseller)  
Yes, I would like to receive promotional e-mails from Jürgens  
Account Number (Assigned by Jurgens)  
Username & Password
Username *
Password *
Confirm Password *
Image verification
Type the numbers you see in the picture. Sorry, but this is required because a lot of robots have created junk profiles. (If you do not see any picture here, please enable images in your web browser options and refresh this page)

Get a different code


Clicking "SUBMIT" you agree with our "Terms & Conditions"
 
SubmitRegistration


Information

We recommend that your password should be at least 5 characters long and should be different from your username.

Your e-mail address must be valid. We use e-mail for communication purposes (order notifications, etc). Therefore, it is essential to provide a valid e-mail address to be able to use our services correctly.

All your private data is confidential. We will never sell, exchange or market it in any way.
For further information on the responsibilities of both parts, you may refer to our
Terms & Conditions 
 
 
MJSA
Jurgens Fine Jewelry, Inc. 1911 Newmark St., North Bend OR 97459 | phone:1-541-751-0111 | fax: 1-541-751-1645
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