John Baker Jewelry Contact Us

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Jyotish Gem Info
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Contact Us

The purpose of this form is to save us time collecting the basic information for your jewelry selection.  We can then either email, call, or fax you back with a review in detail of your personal selection, and answers to any questions you may have.  This form is not a purchase order.
First name:


Last name:


Your business's name (if applicable):


Your email address:


Your fax number (if applicable):


Street address:


Street address2:


City:


State:


Zip(Postal Code):


Country:


Day Phone number:


Evening Phone number:


How do you prefer to be contacted?
By Email
By Telephone 
  (Best time to phone: )

Purpose of ring:
Jyotish
Non-Jyotish

Gemstone?  

Gem size?  carats

Type of Jewelry?
Lady's ring
Pendant
Earrings
Brooch
Men's ring
Other  

Setting Number? 
(or if custom, check here: )

Ring Finger Size? 

Type of Metal?

Please feel free to include other comments or questions:




If you wish to call us directly, (preferably after submitting this form) with further questions and details, our phone number and address are:


JOHN BAKER JEWELRY
641-472-6699
P. O. Box 723
Fairfield, Iowa 52556
Info@JohnBakerJewelery.com



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