Luxury Diamond Consultation Intake Form
Private intake for qualified buyers of lab-grown or natural diamonds with Maize Jewelry & Co. LLC. Please complete this secure form to begin your personalized consultation.
Client Information (Basic KYC)
Your information is kept private and used only for consultation purposes.
Full Legal Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
City & State
*
Instagram or LinkedIn (optional)
I confirm the information provided is accurate.
*
I confirm the information provided is accurate.
Back
Next
Purchase Intent
Tell us about your goals and timeline.
What are you purchasing for?
*
Engagement
Anniversary
Upgrade
Investment
Custom Project
Other
Target Timeline
*
Within 2 weeks
2–4 weeks
1–2 months
Exploring options
Are you currently working with another vendor?
*
Yes
No
Have you identified a specific diamond?
*
Yes (Upload link or certificate)
No
If yes, please upload a link or certificate for the diamond.
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Back
Next
Diamond Specifications
Share your preferences or requirements.
Diamond Type
*
Lab-Grown
Natural
Open to guidance
Shape
*
Cushion
Elongated Cushion
Round
Oval
Emerald
Radiant
Pear
Marquise
Other
Preferred Carat Range (e.g., 1.0–2.5)
Preferred Length (mm)
Preferred Width (mm)
Preferred Length-to-Width Ratio
Color Preference
*
D
E
F
G
Open to recommendation
Clarity Preference
*
IF
VVS1
VVS2
VS1
VS2
Eye-clean minimum
Polish
*
Excellent only
Very Good acceptable
Symmetry
*
Excellent only
Very Good acceptable
Fluorescence
*
None
Faint acceptable
No preference
Certification
*
IGI
GIA
No preference
Back
Next
Budget & Commitment
Confirm your budget and readiness to proceed.
Total Budget Range (USD)
*
$1,000–$2,500
$2,500–$5,000
$5,000–$10,000
$10,000+
Are you prepared to place a non-refundable allocation deposit to secure inventory?
*
Yes
I would like more information
Not at this time
Preferred Payment Method
*
Wire
ACH
Credit Card
Unsure
Back
Next
Viewing & Logistics
Select your viewing preference and logistics.
Preferred Viewing Method
*
In-person (San Diego County)
Insured shipment for private viewing
Local jeweler inspection (buyer arranged)
If you selected 'Local jeweler inspection', please enter the Jeweler Name & Location.
I understand that allocated diamonds are removed from supplier inventory and require a non-refundable deposit prior to procurement.
*
I understand that allocated diamonds are removed from supplier inventory and require a non-refundable deposit prior to procurement.
Back
Next
Agreement & Signature
Please review and sign to proceed.
Electronic Signature
*
Date
*
-
Month
-
Day
Year
Date
I understand final sale terms are governed by a separate Diamond Sales Agreement.
*
I understand final sale terms are governed by a separate Diamond Sales Agreement.
Submit
Submit
Should be Empty: