Hobbyist Account Form Name * First Name Last Name Email * Phone * Country (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country What services are you interested in? Loose Gemstones Bead Strings Repairs and Outwork Other Information Social Profiles, Location, Alternative Email Address etc Application Confirmation * I understand that by submitting this form I am expressing interest in an account with JQV Gems. We will contact you with further information regarding finalising your account soon as well as occasional updates on JQV Gems. I Understand Thank you for completing this form, we will be in touch!