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Fill in the fields below.The code of the chosen jewelry is on the information-page. As soon as I have received your order, I will sent you a confirmation-email and instructions to pay. As soon as payment has cleared, I will sent you your piece of jewelry.

MAKE SURE, YOU FILL IN YOUR EMAIL-ADRESS CORRECTLY. IF YOU DON'T, I AM NOT ABLE TO CONTACT YOU.

Name of chosen jewelry - - -

Code of chosen jewelry - -

Your name - - - - - - - - -

Street and housenumber - -

Zippcode - - - - - - - - - - -

Town - - - - - - - - - - - - -

Country - - - - - - - - - - - -

Your email-address - - - -

I prefer - standard shipment - - - - - - - - - - -
            - registered shipment - - - - - - - - - -
            - registered and guaranteed shipment -

Payment - I will pay with bank transfer - - - - - - - - - - -
- I will pay with Paypal - - - - - - - - - - - - - - -

If you have any questions, you can write them down below.

Click "verzenden" to sent