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Receive the benefits of a Van Scoy Diamonds Valued Customer: It's easy.
Just let us know your personal preferences to receive exclusive offers
and invites as well as previews to new products.
Your Information:
First Name:* Last Name:*
DOB: Email:*
Address:* City:*
State:* Zip:*
Phone Number:*
 
Spouse Information:
First Name: Last Name:
DOB: Anniversary:
 
Children:
Child Name1: Child DOB:
Child Name2: Child DOB:
Child Name3: Child DOB:
Child Name4: Child DOB:
Child Name5: Child DOB:
 
1. Preferred Store Location:
3825 High Point Road Greensboro, NC - 27407 Tel: 336-855-0103
North Carolina
3402-G, West Wendover Avenue Greensboro, North Carolina 27407
 
2. What are your Favorite Brand(s)?:
Rhythm of Love
Verragio
Artcarved
Slate and Tell
Tiriton
Pre-Owned Rolex
CrownRing
Noam Carver
3. Choose Your Favorite Product(s):
Necklaces and Pendants
Earrings
Bracelets
Watches
Rings
Pins and Brooches
Jewelry
Men's jewelry
 
4. Select Your Favorite Material(s):
White Gold
Yellow Gold
Platinum
Palladium
Alternative Metals like Stainless Steel & Tungsten Carbide
5. Select Your favorite gemstone(s):
Diamonds
Pearls
Precious Gemstone (Ruby, Sapphire, Emerald)
Semi-Precious Gemstones (Aquamarine, Citrine, Peridot, Blue Topaz, etc.)
 Yes   No6. Send Me Exclusive In-Store Offers and Events?
 
7. Is There Something That You Would Like to Find at Our Stores in Your Next Visit?
 
8. Where do you prefer to shop?
Online only
In store only
Both
9. How did you hear about us?
Television
Radio
Newspaper
Website
Walking by
Facebook
Twitter
Friend/Referral
Current Van Scoy Customer
Internet Search
 

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