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Private Collection Information Sign Up
This form is intended to be used to collect information about you and your collection. We will contact you when we are ready to receive your items.
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Email
*
Your email
Instagram and/or TikTok username (Please include all profiles that you purchase under)
*
Your answer
Name (Last name, First name)
*
Your answer
Phone number
*
Your answer
Date of First Purchase from Virgo Gems
*
MM
/
DD
/
YYYY
How many pieces do you intend to send to us? Include a short description of the items. (ie specimens, polished material, mixed specimens and polished material)
Please note: The limit to how many pieces you can send is 25.
*
Your answer
I have read, understood, and agreed to the terms outlines on the
Virgo Gems Private Collection Program
*
I have read, understood, and agreed
Required
Send me a copy of my responses.
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