Custom Design Request Form
Thank you for choosing Rebecca Zemans Jewelry to help you create a one of a kind piece of jewelry! We couldn’t be more excited to be part of this special collaboration. We've created the following custom jewelry request form to assist us in understanding your vision so we can create the perfect piece of jewelry for you.

Please take your time to fill it out and feel free to be as elaborate as you want. Answer what you can and please don't feel like you have to fill out the entire thing. We'll go through the answers together when we chat. Should you have any questions, please don’t hesitate to ask. Thanks so much! We're looking forward to working with you!

Custom rings in progress...
Name
Your answer
Email
Your answer
What type of jewelry are you looking for?
Who will be wearing the piece? Is there a special occasion?
Your answer
What pieces are you drawn to? Or have elements of what you are looking for?
For example, the way the stone is set, the texture of the metal, the overall style of the piece, etc.
Your answer
Have you seen any design elements you don't like?
Your answer
Is the wearer of this custom piece of jewelry allergic/sensitive to any material?
Your answer
Are you thinking about utilizing any heirloom stones or metals in this jewelry design?
Your answer
What kind of materials are you interested in?
Sterling silver; gold-filled; 10k, 14k, 18k, yellow, rose, or white gold; platinum...
Your answer
Are you interested in stones?
Would you like us to provide you information on gemstones or specific birthstones?
Your answer
How would you describe the wearer's style and the way they use their hands?
What do they like to wear on a typical day?
Your answer
What is your budget?
Solutions are always available to accommodate your budget and jewelry needs.
Your answer
When would you need the jewelry to be ready?
Production takes 2-4 weeks to complete: the Tailored design process can take 6-10 weeks, the Bespoke design process can take 2-4 months.
MM
/
DD
/
YYYY
How did you hear about Rebecca Zemans Jewelry?
Your answer
Do you have any questions for us?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.