Request Memo

Examine this gemstone on a 5-day consignment before you buy.

Stone

Sapphire Cushion: 2.60ct

Where should we send the memo and how should we reach you?

Company Name

Company Phone

Buyer Name *

Buyer Phone *

Buyer Email *

Contact Method *

Phone Email

Street 1 *

Street 2

City *

Zipcode *

Country *

State *

Optional. Add jewelry trade association memberships if applicable.

Optional. Provide trade references we can contact.

Special instructions

Sieving, matching, color requests, etc.

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