Jewelry Quote Request Form
Please fill out the following form to receive a free preliminary quote by e-mail. Remember that we can only make a payment offer upon receipt of the actual items.
Type of Jewelry:
Age of Jewelry:
Jewelry Material:
Dominant Stones?
Total Diamond Weight:
Total Gem Weight:
Designer Piece?
If Yes, Who is the Designer?
Overall Condition:
Description & Comments: Please include stone weights, shapes & sizes:
First Name (Required) :
Last Name (Required) :
E-Mail (Required) :
Street :
City :
State :
Zip Code :
Daytime Phone:
Evening Phone:
Where & When is the best time to reach you?
How Did You Hear About Us?:

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