T
hank you for your interest in the preferred customer program at Harold Jaffe Jewelers. Please fill out the form below.
Name:
Address:
City:
State:
Zip:
Home Phone:
Email:
(*required)
Other Address: Use this address to send me gift information
Address:
City:
State:
Zip:
Phone:
Tell us a little about yourself:
Anniversary Date:
Spouse's Name:
Your Birthdate:
Spouse's Birthdate:
Jewelry Preference: Tell us a little bit about likes and dislikes you or your spouse might have. Such as stone preference, cut preference, setting, necklace vs. bracelet.
Are there any other important dates you would like to share?
Name:
Date:
Event:
Name:
Date:
Event:
Name:
Date:
Event:
Your information will be kept private and will never be sold or shared with anyone. The information provided is for notifying members of the "24k Club" of upcoming specials and events. Please contact Harold Jaffe Jewelers with any questions or concerns. Thank you.
©2006 Harold Jaffe Jewelers, Inc. All Rights Reserved.