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Mokume Gane
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Custom Design Jewelry

Inquiry Form

Please fill out the form below or print and fax a downloadable copy to inquire about a custom designed piece. Once your request has been submitted, you will be contacted with cost estimates and ideas for constructing your design.

Browse for loose stones and gems for sale at Diamond Peak Goldsmiths here.

Stones	Center Stone Size MM
Accent Stones	Quantity	Size MM
Will we be using

Desired Width of Shank at Thickest Area MM

Metal
Mokume Gane

Where did design idea originate? (Please include websites or links to photos if possible.)

Please include details about your ring design in the box below.

Name
Shipping Address

Street Address
City	State Zip Code
Country

Billing Address (if different)

Street Address
City	State Zip Code
Country

Contact Phone Number	--
Email
NOTE This is an information order form. Mokume Gane orders are hand-filled. Payment for Mokume Gane custom orders will be made by phone when details of order are final.
Intended Method of Payment