We are located in Delaware, USA
EmailMeForm
Kintsugi Repair Request
Please fill one form per item
1: ABOUT YOU
Your Name
*
First
Last
Your Tel No.
*
State
*
Your email address
*
2: ABOUT YOUR VALUABLE
A. What is the damaged item?
*
Examples: Plate, sculpture, vase, etc.
Please do not enter multiple items per form
B. Describe the damage
*
Example: Missing 2 fingers, hairline cracks, broken into a few pieces
C. Item's material
*
Select one below
Stoneware / China / Porcelain
Terra Cotta / Earthenware
Stone
Plaster
Resin
Metal
Glass
D. Is your object heavier than 25 lbs or
with any dimension greater than 24"?
*
Select one below
No
Yes
E. Object's dimensions:
*
e.g., 8" tall and 4" wide.
We DO NOT handle objects larger than 24" or heavier than 25 lbs.
F. Number of broken pieces
*
Do not count small fragments
(smaller than a grain of rice)
G. Does your item have old glue?
*
Select one below
No
Yes - I used 2 part epoxy
Yes - I used "Crazy Glue"
Yes - I used other glue
Yes - I do not know what glue it is
Charges will depend on glue type used and removal difficulty
H. Are there hairline cracks?
*
Select one below
No
Yes
I think so but not sure
Describe hairline lengths & location
*
I. Are there missing pieces?
*
Select one below
No
Yes
I am not sure
Any part larger than a grain of rice size
is a "missing piece"
Describe missing pieces, size & location
*
J. Broken item's value
*
Select one below
$50 - 100
$101 - 250
$251 - 500
$501 - 1,000
$1,000 - 2,000
$2,000 - 5,000
Over $5,000
Sentimental
I do not know
Required for insurance purposes
3: REPAIR TYPE
K. Estimate for Kintsugi repair type
*
-Select one below
Kintsugi repair using Gold Effect metal
Kintsugi repair using Real Gold (2.5 time greater cost)
Both, Gold Effect and Real Gold estimates
Gold Effect metal can be substituted with Silver Effect, Bronze or Copper metals at the same cost
4: OTHER INFORMATION
What else we need to know?
How did you hear about us?
*
5: USAGE LIMITATION AND COST
L. Are you aware that the repaired item
CANNOT be subjected to liquids, food,
scrubbing or temperatures above
150 degree?
*
Check the box below
YES!! I use it for display only
** In order to receive an estimate,
the above limitation statements is
required to have a selection of
"Yes" acknowledging these limitations.
6: PHOTOS - a must have!
Include clear photos showing the WHOLE item
(front and rear) and the broken pieces FACING UP
showing colors / painting / texture
Max total size for all photos is 10MB
Do you plan to include photos?
*
Select one below
I can attached photos now - see below
I will send photos separately
Adding Photos Up to 10MB Total
Add File
Wait for photo to load before submitting
Press SUBMIT button below and wait for a "Thank You" screen to insure proper transmission.
Download may take a couple of minutes depending on photos size.
Check if all required fields are filled up if submission is not occurring. If still having trouble, contact us via phone or email.
A copy of the above will be emailed to you once submitted.
We are located in Delaware, USA
