Tiffany

Are you completing this application at a Tiffany and Co. location?

Title

Legal First Name*

Legal Last Name*

Date Of Birth*

Social Security Number*

Driver License

State

Exp Date

Email Address*

Primary Phone*

I grant permission for Tiffany and Co. to send SMS messages to this number.

Address Line 1 (26 character max)*

Address Line 2 (26 character max)

Zip Code*

City*

State*

Residence Status

Length at Residence*

Is your previous address in the United States or Canada?

Previous Address Line 1 (26 character max)*

Previous Address Line 2 (26 character max)

Zip Code*

City*

State*

Is Your Billing Address Different?*

Yes No

Billing Address Line 1 (26 character max)*

Billing Address Line 2 (26 character max)

Zip Code*

City*

State*

Business Name or Current Employer*

Position*

Length of Position*

Annual Income*

Business Address Line 1 (26 character max)

Business Address Line 2 (26 character max)

Zip Code

City

State

Business Phone Number

Are you a student?

Yes No

Name of University or College*

Area of Study*

Thank you for choosing to shop with Tiffany and Co. In the box below please share additional information that will allow us to personalize your shopping experience with us. This may include merchandise selections, purchase price and/or preferred Tiffany and Co. shopping location. Our knowledgeable staff looks forward to helping you find the perfect piece to wrap in our iconic blue box.

1000 characters remaining.

Please note if any item is designated as an "Interest Free" "Tiffany Select Financing" on the sales invoice or otherwise at the point of sale, the minimum monthly payment amount for that item will be a percentage of its total cash price. Please see agreement below for additional information.

By submitting this application, I agree to the following:

I certify that I have read and agree to all terms, conditions, authorizations and disclosures provided with this credit application and that all information provided is true and correct.
As the primary cardmember, you will be liable for all account balances. Authorized users will have no financial responsibility for the account. All correspondence including statements and notifications will be sent to the address listed on the account.
I understand that the terms of my account, including the APRs, are subject to change. Any such changes will be made in accordance with the Cardholder Agreement.
The information supplied in this application is true and correct and I request a Tiffany and Co. credit card.
THE RETAIL INSTALLMENT CREDIT AGREEMENT CONTAINS, AMONG OTHER THINGS INFORMATION REQUIRED TO BE DISCLOSED BY FEDERAL LAW WITH RESPECT TO RATES, FEES, AND OTHER COSTS OF CREDIT.

I Agree to these terms. (You must check this box to submit your application.)