Jewelry Repair Mail in Form

This form can be used for small & simple repairs
on costume jewelry, fashion jewelry, sentimental heirlooms
or other moderately priced jewelry.
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For more expensive jewelry or complicated repairs
please contact us by phone (360)-458-5758
and we will make appropriate arrangements

Fill out the Credit card info by hand!
Securely wrap your jewelry and enclose this form along with cashiers check, money order or Credit Card informationBe sure to include your return address on the outside of the package.
We recommend you insure the shipment

Send To:
Laser Repair
Elie Design, Inc.
P.O.Box 2449
210 E Yelm Ave (UPS, FEDEX)
Yelm, WA 98597

Name:

Address & apt no:

City: State: Zip:

Day Phone: (include area code) - -

What items are you sending in for repair?
Bracelet Ring Pendant Earring other:

What metals is the piece made of?

Gold Silver Platinum Titanium Not sure

Description on what you would like repaired on your item (s):

We will email or call you back with an estimated cost for the repair.
(Jewelry repair from $29.95: one weld and return shipping)

Simple Jewelry Repair (one LASERweld) includes Proirity Mail return shipping	$ *29.95
Expedited Return Shipping add $15 for Express Mail	$
Total	$

Payment Method

Cashiers Check or Money order (enclosed) Payable to Elie Design

Visa • Mastercard • Amex • Discover

Card Number_______________________________________

Expiration:____-________
|
Signature
Required for Credit card_____________________________

Our Guarantee

Our repairs are guaranteed for one full month.

if our Laser weld should break within that time, simply return it to us
- we'll either fix your jewelry again at no charge to you or we'll refund your original fee.

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If we are unable to repair your jewelry, we'll notify you by either telephone or email.
Your jewelry and your payment will be returned to you at our expense.
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Disclaimer

Here at Laser-Fix we are confident to safely weld the broken metal parts of your jewelry without the use of excessive heat, however we cannot be responsible for the overall condition or value of your jewelry (former scratches, quality of stones, etc. ).

I understand and agree

Date:

(Sign here)__________________

*If repairs exceed $30 charge, you will be notified before repair begins.

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If you have any questions
call us first at

(360)458-5758

We will be more than happy to help you with any of your jewelry needs.

Ring Sizing
Stone setting
Engraving
Gold Plating
Heirloom restoration
Custom Wedding Bands
Pearl re-stringing

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How did you find us?

(Please circle one)

Google
•
Yahoo
•
MSN
•
AOL
•
other

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Friend

Thanks for your help!