Wedding bands order form

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Acc No.:

Telephone:

Email:

Date:

Store Name:

Address:

Ordered by:

City:

State:

Zip:

Style Number (1)

Special instructions

14 W:

18 W:

PLT:

14 Y:

18 Y:

please enter the size and the desired number of pieces:

Ring size:

pieces:

–

Add Size

Add style

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