After Pay Online Payment Form.

After Pay Online Payment Form.

We offer single, couple, and group appointments. Our options include Gold Filled, Sterling Silver, Stainless Steel, and Solid Gold. If you have any questions, please do not hesitate to reach out via text, email, or Instagram. Text us at (510) 871-1602. We also offer Afterpay in-store, in case you missed something or would like to add something.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Thank you for your interest in getting a permanent jewelry piece with us! We offer Afterpay options to ensure we meet all of our guests' needs. Once you submit your payment, you can go to the appointment booking app and select the appropriate appointment with the Afterpay option to avoid being charged a second time. If you have any questions, please do not hesitate to reach out.

Please check the calendar to see if appointments are available on your preferred day.

Appointment Availability
Please review important information before paying with afterpay.

Waiver , Cancelation and policy info
I acknowledge that I have reviewed the waiver, which includes policies and cancellation information.*

Yes
Signature*

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