Please fill out this form and we will contact you by phone regarding your order!

Item order#:
Choice of metal:
Choice of stone:
Finger size: (Can be sent back for sizing after purchase at no charge)
Name as it appears on credit card:
Day time phone number: () ext.
E-mail address:

*Billing Address

Address:
 
 
City:
State:
Zip code:
*Shipping Address (Same as billing address)

Address:
 
 
City:
State:
Zip code:



*Please use one order form for each item ordered.


 
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