Jewelry Store Order Form
Jewelry Store Order Form
Please fill out this form completely to place your jewelry order with us.
Customer Information
Name
Phone number
Address
Order Details
Jewelry Type
-
Ring
-
Necklace
-
Bracelet
-
Earrings
-
Custom
Material
-
Gold
-
Silver
-
Platinum
-
Gemstone (if applicable)
-
Diamond
-
Ruby
-
Sapphire
-
Size/Dimensions
e.g., ring size, chain length
Customization Requests
Custom Design Details
Special Instructions
Pricing and Payment
|
Price |
$ |
|
Discount (if any) |
$ |
|
Total |
$ |
Payment Method
-
Credit Card
-
Debit Card
-
PayPal
-
Cash
-
Terms and Conditions
We kindly request that you carefully review our return and exchange policy in its entirety. By providing your signature, you are indicating your agreement to the terms and conditions associated with the order.
Name:
Date:
Thank you for your submission!
We appreciate you taking the time to submit.
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