Denise Nicole Designs, LLC
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Custom Jewelry Design
Request Form
*
Indicates required field
Name
*
First
Last
Enter your first and last name so we can contact you personally.
Email
*
Please enter a vaild email address so we can contact you.
Phone Number
*
Please enter a valid phone number so we can contact you. (Optional)
Metal Type for Jewelry Design
*
Silver-plated
Gold-plated
Gold-Filled
Silver-filled
Sterling Silver
Other (described below)
Please choose what metal type you request for your custom jewelry design.
Jewelry Design Type
*
Earrings
Bracelets
Necklace Design
Rings
Combined Set (necklace, earrings, and bracelet)
Other
Please select the bowl design style that is requested to be made. Below samples display the two styles.
Theme Idea
*
Holiday
Special Occassion
Birthday
Graduation
Sports (favorite team)
Wedding
Other
Chose from the following options in the list. If your selection is other, please clarify your idea in the request info below. Thank you.
Note to Designer
*
Please type in all the require information needed in order to fulfill your order request. Include all of the extra details needed to describe your desired theme if other was chosen.
I agree to receiving marketing and promotional materials
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