Special Order Request | BRILLIANT ELEMENTS

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BRILLIANT ELEMENTS

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Special Order Form

Request a Quote

Please take a moment to fill out the form.

Store Name

Email

Product Type

Reference Style Number

Size / Length in Inches

Contact Name

Phone Number

Requested Deliver Date

Upload File

Upload supported file (Max 15MB)

Center

Center MM

Carats

Material

Finger Size / Length

Required Metal

Required Diamond Quality

Special Instructions

Ship To Address

Thanks for submitting!

Customer Service will contact you soon to confirm.

LOCATION

10 W 46th Street,

Suite # 1705,

New York, NY 10036.

Tel: 212-221-1071

HOURS

Mon - Fri: 10 am - 6 pm

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