Private: Partners Ordering Form Partner Code:(Required) Welcome Back Deceased Client Name:(Required) Prefix Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. First Middle Last Suffix IMPORTANT! Each order is assigned an Unique Order Number. A new order has to be created for every cremated client. This help create the chain of custody guarantee for the cremated remains. Diamond Selection Upto 3 Carats in total combined weight can be ordered per half cup of {id:65} cremated remains. Yellow DiamondSelect Carat.30-.39 Carat. 4.3mm-4.8mm (Yellow) $995.00.40-.49 Carat. 4.8mm-5.2mm (Yellow) $1,495.00.50-.59 Carat. 5.2mm-5.4mm (Yellow) $1,995.00.60-.69 Carat. 5.4mm-5.7mm (Yellow) $2,295.00.70-.79 Carat. 5.7mm-6.0mm (Yellow) $2,595.00.80-.89 Carat. 6.0mm-6.3mm (Yellow) $3,295.00.90-1.0 Carat. 6.3mm-6.6mm (Yellow) $3,695.001.0-1.5 Carat. 6.6mm-7.3mm (Yellow) $4,995.001.5-2.0 Carat. 7.3mm-8.1mm (Yellow) $7,995.002.0-3.0 Carat. 8.1mm-9.4mm (Yellow) $10,995.00Quantity012345678Black DiamondSelect Carat.30-.39 Carat. 4.3mm-4.8mm (Black) $1,295.00.40-.49 Carat. 4.8mm-5.2mm (Black) $1,795.00.50-.59 Carat. 5.2mm-5.4mm (Black) $2,495.00.60-.69 Carat. 5.4mm-5.7mm (Black) $2,895.00.70-.79 Carat. 5.7mm-6.0mm (Black) $3,195.00.80-.89 Carat. 6.0mm-6.3mm (Black) $3,995.00.90-1.0 Carat. 6.3mm-6.6mm (Black) $4,695.001.0-1.5 Carat. 6.6mm-7.3mm (Black) $5,295.001.5-2.0 Carat. 7.3mm-8.1mm (Black) $7,995.002.0-3.0 Carat. 8.1mm-9.4mm (Black) $10,995.00Quantity012345678Red DiamondSelect Carat.30-.39 Carat. 4.3mm-4.8mm (Red) $1,295.00.40-.49 Carat. 4.8mm-5.2mm (Red) $1,795.00.50-.59 Carat. 5.2mm-5.4mm (Red) $2,495.00.60-.69 Carat. 5.4mm-5.7mm (Red) $2,895.00.70-.79 Carat. 5.7mm-6.0mm (Red) $3,195.00.80-.89 Carat. 6.0mm-6.3mm (Red) $3,995.00.90-1.0 Carat. 6.3mm-6.6mm (Red) $4,695.001.0-1.5 Carat. 6.6mm-7.3mm (Red) $5,295.001.5-2.0 Carat. 7.3mm-8.1mm (Red) $7,995.002.0-3.0 Carat. 8.1mm-9.4mm (Red) $10,995.00Quantity012345678Green DiamondSelect Carat.30-.39 Carat. 4.3mm-4.8mm (Green) $1,295.00.40-.49 Carat. 4.8mm-5.2mm (Green) $1,795.00.50-.59 Carat. 5.2mm-5.4mm (Green) $2,495.00.60-.69 Carat. 5.4mm-5.7mm (Green) $2,895.00.70-.79 Carat. 5.7mm-6.0mm (Green) $3,195.00.80-.89 Carat. 6.0mm-6.3mm (Green) $3,995.00.90-1.0 Carat. 6.3mm-6.6mm (Green) $4,695.001.0-1.5 Carat. 6.6mm-7.3mm (Green) $5,295.001.5-2.0 Carat. 7.3mm-8.1mm (Green) $7,995.002.0-3.0 Carat. 8.1mm-9.4mm (Green) $10,995.00Quantity012345678Blue DiamondSelect Carat.30-.39 Carat. 4.3mm-4.8mm (Blue) $1,495.00.40-.49 Carat. 4.8mm-5.2mm (Blue) $1,995.00.50-.59 Carat. 5.2mm-5.4mm (Blue) $2,695.00.60-.69 Carat. 5.4mm-5.7mm (Blue) $2,995.00.70-.79 Carat. 5.7mm-6.0mm (Blue) $3,395.00.80-.89 Carat. 6.0mm-6.3mm (Blue) $4,495.00.90-1.0 Carat. 6.3mm-6.6mm (Blue) $4,995.001.0-1.5 Carat. 6.6mm-7.3mm (Blue) $5,595.001.5-2.0 Carat. 7.3mm-8.1mm (Blue) $7,995.002.0-3.0 Carat. 8.1mm-9.4mm (Blue) $10,995.00Quantity012345678Pink DiamondSelect Carat.30-.39 Carat. 4.3mm-4.8mm (Pink) $1,495.00.40-.49 Carat. 4.8mm-5.2mm (Pink) $1,995.00.50-.59 Carat. 5.2mm-5.4mm (Pink) $2,695.00.60-.69 Carat. 5.4mm-5.7mm (Pink) $2,995.00.70-.79 Carat. 5.7mm-6.0mm (Pink) $3,395.00.80-.89 Carat. 6.0mm-6.3mm (Pink) $4,495.00.90-1.0 Carat. 6.3mm-6.6mm (Pink) $4,995.001.0-1.5 Carat. 6.6mm-7.3mm (Pink) $5,595.001.5-2.0 Carat. 7.3mm-8.1mm (Pink) $7,995.002.0-3.0 Carat. 8.1mm-9.4mm (Pink) $10,995.00Quantity012345678Clear DiamondSelect Carat.30-.39 Carat. 4.3mm-4.8mm (Clear) $1,495.00.40-.49 Carat. 4.8mm-5.2mm (Clear) $1,995.00.50-.59 Carat. 5.2mm-5.4mm (Clear) $2,695.00.60-.69 Carat. 5.4mm-5.7mm (Clear) $2,995.00.70-.79 Carat. 5.7mm-6.0mm (Clear) $3,395.00.80-.89 Carat. 6.0mm-6.3mm (Clear) $4,495.00.90-1.0 Carat. 6.3mm-6.6mm (Clear) $4,995.001.0-1.5 Carat. 6.6mm-7.3mm (Clear) $5,595.001.5-2.0 Carat. 7.3mm-8.1mm (Clear) $7,995.002.0-3.0 Carat. 8.1mm-9.4mm (Clear) $10,995.00Quantity012345678The Suggested Retail Price Is As a wholesale partner, Funeral Homes receive a 50% Discount off the above Suggested Retail Price. You’ll see the estimated growth time for your selected Memorial Diamonds on the next page. Order Summary Your estimated growth time, based on our current growth capacity is: Description Estimate Carbon Extraction, Diamond Growth & Lab Allocation, Cutting & Polishing: 4-7 Months This is calculated from when your invoice is paid and from the time we receive your client’s ashes. Paying the due invoice and sending the cremated remains promptly will best guarantee the prompt delivery of your clients Memorial Diamond(s). {pricing_fields} After we receive your order, our accounting team will issue your invoice and payment terms. Invoice Infomration:Funeral Home Name:(Required) Your Name:(Required) First Last Company Email Address:(Required) Enter Email Confirm Email Company Website: Funeral Home Address:(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands HiddenUnique Order Number Order Summery {all_fields}HiddenHidden Total: