Grillz Submission Form

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.

Full Name

First NameLast Name

Instagram/TikTok

Your socials will be the first form of contact

Email Address

Your email will be the second form of contact

United StatesInternational

In person (San Francisco)Video call (via shipping)

SilverYellow GoldRose GoldWhite Gold (14k or 18k)

10k14k18k

YesNo

Budget Range

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.

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.

Additional references (optional)

YesDesign consultation ($60 for 1 hour. I will draw and design your piece during the consultation.)Classic capsI can’t draw 😔

Lastly, please describe your design (all details, diamonds, gems, shapes, fangs, etc). Please include wether it is for top/bottom row and the tooth numbers if you didn’t submit your drawing. (example: Bottom L2 and L3)

0/500

Thank you for your patience

I'm grateful to have 20+ orders in queue, and I'm finishing these at the highest quality possible before I begin new pieces. I look forward to reaching out and starting your piece soon.
-Zay @shinebyzay