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Custom Jewelry Form
Customer ID
Store Name
Job# / PO#
*
Estimate First?
Yes, estimate first.
No estimate needed
Contact Name
First Name
Last Name
E-mail
example@example.com
Which custom service are you in need of?
Please Select
New custom piece
Remodel/Redesign of existing jewelry
Other
What's the occasion?
Please Select
Engagement
Wedding
Anniversary
Gift
Stock item
Other
Can you supply the physical sample?
Yes
In Store Date
-
Month
-
Day
Year
Date
Is the date flexible
Yes
No
Budget
This helps us when designing.
Are you providing a CAD file?
Yes
Do we need to alter the file?
Yes
No
Item Type
*
Please Select
Ring
Bracelet
Earring
Pendant/Charm
Necklace
Other
Finishing
*
Please Select
Fully Finished
Semi-Mount
Pre-Polish
Raw Casting/Clip n Ship
CAD Only
Metal Tone
*
Single Tone
Two Tone
Three Tone
Metal Type 1
*
Please Select
10k
14k
18k
22k
Sterling Silver
Platinum
Palladium
Metal Color 1
*
Please Select
Yellow
White
Rose
Green
Green only available in 14 and 18k
Metal Type 2
*
Please Select
10k
14k
18k
22k
Sterling Silver
Platinum
Palladium
Metal Color 2
*
Please Select
Yellow
White
Rose
Green
Green only available in 14 and 18k
Metal Type 3
*
Please Select
10k
14k
18k
22k
Sterling Silver
Platinum
Palladium
Metal Color 3
*
Please Select
Yellow
White
Rose
Green
Green only available in 14 and 18k
Finish options:
Please Select
Polish
Bead blast
Brush
Satin
Does the design include gemstones/diamonds?
Yes
No
Not sure yet
Who is supplying the stone(s)?
Please Select
Jewel-Craft
Store/End Customer
Mixed
Select "Mixed" if you will supply some, but JC needs to supply additional.
Who is supplying what?
Stone Types and Shape
Stones required for model creation. mm sizes preferred.
Band Width
Notate if the band will taper
Band Profile
Flat, Comfort, Round, Knife Edge, etc.
Ring Size
Not sure? Use 7 for ladies, 10 for mens.
Describe what you'd like made.
As detailed as possible. If you need a reference a previous job #, include it here.
Dimensions
Length x Width x Thickness
Who is supply the chain?
Please Select
Jewel-Craft
Store/End Customer
Chain type?
Please include mm width
Center Setting Style
Side Setting Style
Accent Setting Style
Link to images
Inspiration images/CAD file submission
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Personalization (Engraving)
What? Where at? Block or script?
Appraisal
I will be supplying scrap to cast
Total scrap weight in dwt
Est. scrap return weight
Wax sample before approval
I plan I reproducing this in the future.
Use my maker's mark.
Date Submitted
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Estimate Due
/
Month
/
Day
Year
Date
Renders Due
-
Month
-
Day
Year
Date
Print
Save
Submit
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