• Submitting this form adds you to the waitlist but does not commit you to a purchase. I’ll contact you in the order forms are received to answer any questions and provide a quote. Your order will begin once a deposit is submitted.

  • Impression appointment*
  • Metal type*
  • Karat (skip this if you chose silver)
  • Diamonds/Gems

  • Grillz Design

    Please download or screenshot this tooth chart and draw a rough sketch of your design using the markup tool or a drawing app. Optional: mix in photoshop or other editing techniques to help complete your design.

  • Image field 50
  • Examples:

  • Drawing Tip:

    Don’t worry about the quality of your drawing skills. It can be a very rough sketch. This drawing makes it possible to quickly reference your design and the placement of the grill on your teeth. This also ensures I won't get your tooth placement or design wrong when I make the piece.

  • Upload Drawing
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    Choose a file
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  • Reference #1
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  • Reference #2
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  • Reference #3
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  • Submitted your drawing?*
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  • Thank you for your patience

    I’m grateful to have you as part of the Shine By Zay journey. Each piece is crafted with care and attention to detail, and I look forward to bringing your vision to life. Thank you for trusting me with your grillz!


    -Zay @shinebyzay

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