The AGS Laboratories establishes accounts only for businesses in the jewelry trade. There are two options for establishing an account.
To establish an account for diamond grading and inscription services, please click the "NEXT" button to continue: If you prefer to fax or mail your application please download and print the PDF. [Download Account Application].
To establish a limited account for requesting replacement documents only click LIMITED. If you prefer to fax or email your Limited application, please download and print the PDF. [Download Limited Application].
Todays Date: Company Name: (Manufacturer, wholesaler or retailer) Manufacturer Wholesaler Retailer Title: First Name: Last Name: Address: Country: City: State: -Select- Other Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming (If outside of U.S., please choose "Other") Other State/Province:
Zip/Postal Code: Phone Number: Fax: Email Address: Confirm Email: Kimberley Process and System of Warranties Certification By Choosing Yes, Client represents, warrants and covenants under penalty of perjury that Client is in full compliance with the requirements of the Kimberley Process and System of Warranties. By Choosing No, Client does not participate in the Kimberley Process and System of Warranties. Client Participates in the Kimberley Process and System of Warranties: NO YES
If you are a member of the gem and jewelry industry, please provide reason(s) for not participating in the Kimberley Process and System of Warranties. Reason for not participating:
Business information same as Client Service Data Exact Legal Business Name: D/B/A: Address: City: State: -Select- Other Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming (If outside of U.S., please choose "Other") Other State/Province:
Zip/Postal Code: Phone Number: Fax: Email Address: Confirm Email:
Business Type: Manufacturer Wholesaler Retailer Kind/Product: Number of Years Established: Number of Employees: Type of Ownership: Corporation Partnership Proprietorship Other Describe Other: Federal or Tax ID Number: Resale Number:
Billing information same as Client Service Data Company Name: Name Card is issued to: Card Billing Address: City: State/Province: -Select- Other Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming (If outside of U.S., please choose "Other") Other State/Province: Zip code: Country: Telephone: Email Address:
Review application prior to submitting: Click here if you accept the Master Client Agreement. Click here if you accept the Laser Inscription Agreement, Exhibit A. Click here if you accept the Kimberley Process and System of Warranties Certification, Exhibit B. Email me a copy of my application
By clicking the I Agree button below, I certify that the answers and information set out above are true, accurate, and complete to the best of my knowledge, and that I am bound by the terms of this Application. I also understand that clicking the "I Agree" button will be considered to be your acceptance of an electronic-signature consisting of your my email address. I Agree.
