Register: The Raphael Collection Diamond Jewellery, Wholesale, UK

Customer Registration

If you would like to become a registered retailer for our products please fill in the form below. You will then be contacted by Gemex to establish your entitlement to registration.

If you are already a registered online customer of Gemex please Log in here.

Details:

Company Name*:

Company Type*:

VAT Number*:

Registration Number*:

Title:

First Name*:

Last Name*:

Email Address*:

Confirm Email*:

Telephone*:

Mobile:

Billing address:

Address 1*:

Address 2:

Town / City*:

County:

Postcode*:

Country*:

Delivery address:

Same as billing address? Select if your delivery address is the same as your billing address

Address 1*:

Address 2:

Town / City*:

County:

Postcode*:

Country*:

References:

Please provide 3 trade references of jewellery suppliers that you already work with.

If you are unable to supply 3 please uncheck the checkbox next to the input box.

Supplier 1*:

Supplier 2*:

Supplier 3*:

Please supply us with any other supportive information if you are unable to supply any supplier references above:

Info

Security:

Tips on password strength:

Must be at least 6 characters long and No spaces are allowed.
Mix UPPER and lower case characters.
Include numbers for even more security.

Password*:

Confirm password*:

Important: Gemex takes the security of its website and in particular its price quotation system very seriously. Our website uses I.P. address tracking technology and if an account is accessed by a computer terminal that conflicts with that account's I.P. address, the security of that account will be deemed to have been compromised and may result in your account being suspended.

Terms*: Please accept our Terms and Conditions