• Date Format: MM slash DD slash YYYY
  • Please select how you found Milestonz Jewelers.
  • Please Read Before Submitting Form

    I hereby acknowledge that everything I have stated in this application is correct to the best of my knowledge. I understand that Milestonz Jewelers will contact me through phone numbers listed and or electronically through e-mail address listed to discuss the credit decision for which I'm applying. Milestonz Jewelers is authorized to retain my application and reserves the right to deny my application for any reason based on the information provided by myself. Milestonz Jewelers is authorized to verify information listed, and check my credit for accurate approval. I understand that I am under no obligation to purchase any product through Milestonz Jewelers with the submission of this application.