Let Me Create Your One Of A Kind Master Piece!

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Be sure you have read through the 10 East Steps to Custom Jewelry before filling out the form. Click here to view the 10 easy steps to custom jewelry.

Name

First Name

Last Name

Phone

(###)

###

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Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What is the type of jewelry that you are looking to create?

When would you like to have this piece of jewelry completed and delivered?

What type of metal do you want this piece made out of?

14k/18k yellow gold, 14k/18k white gold, silver, other metal please describe.

Does your piece require or have gemstones?

yes

If your answer above was Yes, please describe the gemstone you want.

Sapphire, Diamond, Emerald, etc. (Size, Shape, Color)

If a Ring, What size do you need this ring to be?

Do you have your own materials that will need to be used in the project?

yes

If your answer above was Yes, please describe.

Is there any of my past work that you would like me to replicated in this piece?

yes

If your answer above was yes, please describe.

What is your desired price range?

If you have any other thoughts or ideas that you feel are important please describe them.

I have read and understand the Ten Step Custom Jewelry Process and I approve of this process.

yes

Let Me Create Your One Of A Kind Master Piece!

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