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Banderson Jewelry
CUSTOM WORK



CUSTOM JEWELRY REQUEST FORM
CONTACT INFORMATION
FIRST NAME
EMAIL ADDRESS
LAST NAME
PHONE NUMBER
JEWELRY DETAILS
Will this jewelry be intended for a man or a woman?
 
 
What type of jewelry are you inquiring about?
Ring
Pendant
Earrings
Bracelet
Body Jewelry
Other
What type of metal do you prefer? (please check all that apply)
White Gold
Yellow Gold
14k Gold
18k Gold
Platinum
Mixed
I Don't Know
What type of finishes do you prefer? (please check all that apply)
Polished
Brushed
Hammered
Mixed
I Don't Know
What type of stones do you prefer? (please check all that apply)
Diamond
Sapphire
Ruby
Emerald
Other
I Don't Know
What type of cuts do you prefer? (please check all that apply)
Princess
Round
Marquise
Baguette
Ascher
Other
I Don't Know
What type of settings do you prefer? (please check all that apply)
Bead Set
Pavé
Channel Set
Tension Set
Other
I Don't Know
Are you interested in hand engraving?
 
 
 
ADDITIONAL COMMENTS
DISCLAIMER

By clicking the "Submit" button you are not bound to purchase any jewelry. The purpose of this form is merely to request an estimate for a having a custom piece of jewelry crafted by the Banderson jewelers.