Custom Order Form
Let Me Create Your One Of A Kind Master Piece
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Name *
Best method of contact (email address, phone number, Facebook username, etc) *
What type of jewelry are you looking to create? (Example: Earring pair with matching ring set, medallion and holder, necklace only, crown, etc) *
When would you like to have this piece of jewelry completed and delivered?
MM
/
DD
/
YYYY
What color stones would you like in the piece(s)?
What color stones would you like in the piece(s)?
Is there anything else you'd like Roman to know about your piece(s)?
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