Application form

Item brand name

Item model name

Requested loan amount

Name

Date of birth

Phone

Occupation

Your address

Bank details

Your identification*

Drivers licence (front).

Your identification*

Drivers license (back).

Proof of address*

A utility bill from your current address.

Your item*

A photo to assist in our appraisal.

CONDITIONS OF PLEDGE – PLEASE READ CAREFULLY

All loans are 3 months unless a longer agreed period. If the item(s) pledged are not redeemed or Interest paid within the 3 months, the pledges will be disposed of as per the Pawnbrokers Act & Regulations, without prior notice to you.
Redemption or interest may be paid by either cash or money order.
This ticket must be produced when redeeming goods or paying interest. If you loose your ticket please notify us immediately.
While all care is taken Diamonds on Broadbeach is not responsible for loss burglary, theft, fire or Damage of any description.
The goods listed above are owned only by me and free of debt and encumbrance.
Money is not lent on rental goods.
I am aware it is an offence to pawn stolen goods.

I UNDERSTAND AND AGREE TO THE ABOVE TERMS AND CONDITIONS*

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