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To create your Wish List, fill out your information and jewelry preferences below
* denotes a required field

Name:	First:	*
	Middle:
	Last:	*

Address:	Street:
	City:
	State:		Zip:

Phone:	Home:
	Cell:

Email:	Email 1:	*
	Email 2:

Birthday:	/ /

Anniversary:	/ /

Have Children?:	Yes No

Children(s) Birthday(s):
	Child:	Name:
		Birthday:	/ /

	Child:	Name:
		Birthday:	/ /

	Child:	Name:
		Birthday:	/ /

Troll Beads:	Please enter number(s) from site:	http://www.lundtrading.com/html/pricelists.html

Special Interests not indicated on site?

Stone Cut:	Emerald	(select all that apply)
	Round Brilliant
	Princess
	Pear
	Oval
	Marquise
	Heart
	Triangle

Carat Size:	Small:	Under (1/4 carat)		(select one or more)
	Fairly Small	(1/4 - 1/2)
	Medium	(1/2 - 1 carat)
	Fairly Large	(1 - 2 carats)
	Large	Above (2 carats)

Stone Color:	Amethyst	(select all that apply)
	Aquamarine
	Blue Topaz
	Citrine
	Diamond
	Emerald
	Garnet
	Opal
	Pearl
	Peridot
	Ruby

Metal:	Sterling Silver	(select all that apply)
	Rose Gold
	Yellow Gold
	White Gold
	Platinum

Jewelry Pieces:	Earrings	(select all that apply)
	Necklace
	Bracelet
	Ring
	Watch
	Anklet

Ring Setting:	Three Stone	(select all that apply)
	Bridal Set
	Diamond Engagement
	Wedding Band
	Solitaire
	Fashion

If you have a special request or are interested in items not listed above, submit your inquiry here:

If you would like your Wish List sent to friends or family members, please include their email address below:
Email:
Email:
Email:

Contact Number:

REPAIRS & CUSTOM WORK
Done on Premises including
the latest in laser technology

1-800-944-0469
Hours: Monday- Thursday 10 a.m. to 8 p.m.
Friday and Saturday 10 a.m. to 6 p.m

Vote Now for Your Family’s Jeweler!

8210 Macedonia Commons, Macedonia, Ohio 44056 (Rt. 82 & 271) Telephone: 330.467.2116 Fax: 330.467.6935 email: info@donbaschjewelers.com.
©2005 Don Basch Jewelers. All rights reserved Reproduction of photos prohibited