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ORDER / INQUIRY FORM

Krikawa Jewelry Designs, Inc.

Please select: Order Inquiry [Note: Not all information is necessary at this time. Just fill out what you can and we will work out all details when we contact you]
Product Requests:

Engagement Rings and Wedding Bands

Engagement Ring
Wedding Band 1
Wedding Band 2
Ring Design:
Base/Liner Metal:
  for mokume inlay rings:

Mokume Metal:
Ring Size:      
Width of Ring:   mm   mm   mm
Primary Stone:   Diamond:        
   
color: to
       
   
clarity: to
       
    Natural Sapphire:        
   
       
Cut:          
Stone Size:   carat        
Other/Accent Stones:
(explain in Notes)		   other stones   accent stone(s)   accent stone(s)

Other Products:

Notes:
(e.g. other details, specifications, requests, questions, etc.)
Full Name:    
CONTACT:        
Telephone #: home work  
    I prefer to be contacted by (select one):
Email address: (required) email phone either
  (repeat email address)
SHIPPING WILL GO TO:
City: State/Province:
Country:    
INTENDED METHOD OF PAYMENT: VISA MC Discover Check Money Order/Cashier's Check
[NOTE: This order form is not an automated purchase system. Each order is hand-filled and you will be contacted by the method of your choosing prior to billing.]