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Customer Order and Support Details Form

AFTER you have placed all your selections in the shopping cart PLEASE complete the form below to let us know your requested ring size(s) and your  engraved necklace initial(s) request, if those items are a part of your order, as well as  the name of the person or cause  that you are supporting with your purchase today. 

Who Are You Supporting Today?*

Ring Size(s) Request

Engraved Necklace Initial(s) Request

Full Name Of Person The Order Is Being Shipped To*

Email Address*

Phone Number*

Any Other Details You Want Us To Know?

© 2010-2020 LQ GEMS

LQ G.E.M.S. - a QueenLe Enterprises, Inc. company

Beverly Hills, CA

Phone: 424-284-7662

Fax: 424-284-7564

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