Please use this form to order your custom Sterling Silver Past Master’s Jewel. If you like, you may also e-mail us at for more information.

After completing this form, you will receive a confirmation email. Please print the email and include it with your payment.

Your personalized jewel will be created after payment is received. Payment instructions are at the bottom of this form and will also be included in your confirmation email. 

Please be sure your phone number and email address are accurate so that we may contact you if we have any questions about your jewel. 

We thank you for your interest in getting your jewel from Insignia Emblematic Creations.