Event Booking for Permanent Jewelry Experience
Thank you for considering us to be apart of your special moment!

After you fill out this order request, we will contact you within 24 - 48 hours to go over details and availability before the order is completed. 

If you would like faster service and direct information contact us at (786)269-9808 or info@houseofjewelsmiami.com

WE ARE MIAMI, FLORIDA BASED ONLY
Sign in to Google to save your progress. Learn more
Email *
Captionless Image
Clear selection
Captionless Image
Clear selection
How did you hear about us? *
What type of party is it? *
# of Guests (Please note we only travel for parties 8+) *
Address of Location *
Date of Event *
MM
/
DD
/
YYYY
Requested Start Time  *
Time
:
Party Coordinator Name *
Party Coordinator Phone Number *
Complimentary Champagne? *
Name for Welcome Sign (for Example Bride or Birthday Girls Name) *
I Authorize House of Jewels Miami to charge My Credit Card a fee of $25 per person if cancellation is not done in 48 hours or if your party is a no show. (your card will not be charged unless) *
Required
Signature *
Credit Card Authorization Form *
Required
Card Holder Name *
Card Number *
Expiration Date *
CCV *
Zip Code *
Billing Address *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of houseofjewelsmiami.com. Report Abuse