Gem Rewards

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Sales Associate Name:*

Sales Associate First Name Sales Associate Last Name

Store Name*

Gem Registry #*

Weight*

MSRP*

Gem Type*

Date Sold*

MM slash DD slash YYYY

Sold at Gem Event Where Roger/Ginger were present*

Yes

No

Split Sale?*

Yes

No

Other Associate Name

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Contact Us

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Name*

First Last

Email*

Company (if applicable)

Address*

City State / Province / Region

Questions/Comments*