Custom Request form

Name

First Name

Last Name

Email

This is used for communication only- never shared. We can add you to our respectful email list if you click the box underneath.

What type(s) of jewelry would you like to design??

Such as: engagement ring, necklace, commitment rings...

Please describe any details you might have in mind

Examples: Ring size, stone type, symbolism, overall style or feel of the design, whether you have stones or metal you'd like to reuse, etc.

Mailing Address

Only for tax calculation and delivery- never shared

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Completion Date

When would you like this jewelry completed?

Budget Range

This will help me work with you to determine metal choice, stones, and design.

Additional thoughts

Anything else you'd like me to know about your request?

location