Custom Design Form

General Information

First name

Last name

Email address

Item(s) to Consign and Quantity

Rings:

Quantity

Pendants:

Quantity

Necklaces:

Quantity

Earrings:

Quantity

Bracelets:

Quantity

Watches:

Quantity

Diamonds:

Quantity

Colored Gemstones:

Quantity

Sterling Silverware:

Quantity

Accessories:

Quantity

Brand Names (ex: Tiffany’s, Cartier etc.)

Brand Names

Attach photo(s)

Lab Certificate included

Original Packaging included

Enter Validation Code:

Enter code as seen above