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Custom Order Form

 
* Please provide as much information as possible
Order Type: *  
Place A Special Order
Request Renders
Role Type*
 
Your Name: *
Account Number:
Product Information
** This will be used if your request is based on one of our existing styles)
** Min size 3.00 and maximum 14.75. Enter values in 0.25 increments.
Miligrain
Engraving
** Preferably in MM size or in CT weight
** ( Side Stone/ Melee information)[# of stones, size, MM size, Total weight etc..]

Ordered For

Store/Company Name: *
Email Address: *
Phone Number: *
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