Repair Estimate Request Form

Repair Estimate Request Form
Request Date

MonthDayYear
Date
Customer Information
Name

First NameLast Name
Phone Number

Area CodePhone Number
Do you prefer us to

call youtext you
Or email
example@example.com
Item Information
What is the item you need the estimate for?

Engagement Ring with Diamond(s) / Gemstone(s)Wedding Set with Diamond(s) / Gemstone(s)Other Ring with Diamond(s) / Gemstone(s)Other Ring without stonesChain / Necklace / BraceletEarringsWatchOther
Do you know what metal / material your item is?

Yellow / White / Rose GoldSterling SilverOther metalI don't know
Please take a photo of the item that needs repair
Or upload a photo of the item

Browse Files

Cancelof
Please describe briefly what the issue is and possibly how it happened or what you would like to have done.
For your information
Once we receive this form submission, we'll call you over the phone to make sure that we have the correct information. We might have some more questions for you as well. If you prefer a text please indicate this on the form. Our current repair lead times vary from 4 to 8 weeks depending on the complexity of the repair. Some repairs may be done quicker and you will always have the option to ask for a 'rush' process.
Should be Empty:

Customer Information