Custom Jewelry Request
Thank you for your interest in ordering a custom piece. Please fill out the form below so that we can get started on your design. We will respond within 24-48 hours to further discuss the details.
Email *
Name *
Email *
Phone number
Jewelry Type *
Metal Type *
Is this item for a gift? If so, please tell me a little bit about the recipient. *
Please describe the jewelry that you want us to create for you. Please include ring size if known. *
Please describe the jewelry that you want us to create for you. Please include ring size if known. *
What is your budget for this order? This will help us determine what materials we should recommend for your piece. *
What is your budget for this order? This will help us determine what materials we should recommend for your piece. *
When would you like to have the piece ready? *
When would you like to have the piece ready? *
Would you like this order shipped or do you want to pick it up? *
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google.