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Pre-Register Today for the Engagement Ring & Wedding Band Spectacular
Please fill out the form below in its entirety and after submitting click on the LIKE button to Register.
 
Your Information:
First Name:*
Last Name:*
DOB:
Email:*
Address:*
City:*
State:*
Zip:*
Phone Number:*
 
Spouse Information:
First Name:
Last Name:
DOB:
Anniversary:
 
Children:
Child Name1: Child DOB:
Child Name2: Child DOB:
Child Name3: Child DOB:
Child Name4: Child DOB:
Child Name5: Child DOB:
 
1. Preferred Store Location:
1540 Altamont Ave
 
2. What are your Favorite Brand(s)?:
Pre Owned Rolex
 
3. Choose Your Favorite Product(s):
Necklaces and Pendants
Earrings
Bracelets
Watches
Rings
Pins and Brooches
Family Jewelry
Men's jewelry
 
4. Select Your Favorite Material(s):
White Gold
Yellow Gold
Platinum
Palladium
Alternative Metals like Stainless Steel & Tungsten Carbide
 
5. Select Your favorite gemstone(s):
Diamonds
Pearls
Precious Gemstone (Ruby, Sapphire, Emerald)
Semi-Precious Gemstones (Aquamarine, Citrine, Peridot, Blue Topaz, etc.)
 
 Yes    No6. Send Me Exclusive In-Store Offers and Events?
 
7. Is There Something That You Would Like to Find at Our Stores in Your Next Visit?
 
8. Where do you prefer to shop?
Online only
In store only
Both
 
9. How did you hear about us?
Current Ellis Customer
Television
Radio
Newspaper
Website
Walking by
Facebook
Twitter
Friend/Referral
 
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