Custom Design Request Form

Name *

First Name

Last Name

Phone *

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Key Words *

Check what appeals to you below

Contemporary Jewelry Design

Traditional Jewelry Design

Sleek/ Minimalist Design

Small Fine Jewelry Design

Large Statement Jewelry

Eclectic Design

Asymmetry

Symmetry

Organic Shape

Stamped Details

Hidden Message

Mixed Metals, Gold & Silver

Textured Metal

Dark, Oxidized Metal

Bright, Polished Metal

Semi-Precious Gemstones/ Cabochons

Faceted Precious Gems

Metal Design (no stones)

Otherworldly/ Ancient Inspiration

Energy Healing

I require that clients have their finger sized by a professional *rings only* *

I will have my finger sized, if needed.

Please read through the Design Process above *

I have read & understand the Design Process

Please read through the Terms of Service above *

I have read & accept the Terms of Service