Reservation Form for ALEX AND ANI Bangles

Please fill in and send us the form below to reserve a special bangle from our ALEX AND ANI Collections. Fields marked with an (*) asterisk are required.

Name*
First Last
Email*
Phone*
Our Customer Service Representative may call you in case not reachable via email
Which one of our store locations will you be visiting?*
- Island Village - Ocho Rios
- Historic Port of Falmouth - Falmouth
- The Shoppes at Rose Hall - Montego Bay
- I prefer delivery to my location
If you are visiting our Falmouth location and you are NOT a Cruise Ship passenger please advise below in Additional Comments in order to make the necessary arrangements at the gate.
When will you be visiting our store? or when would you like your item to be delivered?*
Date Format: MM slash DD slash YYYY
Let us know which bangles you may wish to purchase*
Have You Shopped with us before?*
How did you hear about us?*
- Select All
- Facebook
- Instagram
- Twitter
- Google
- Referred by a Friend
- Magazine Ad
- Television
- Other
Please check all the apply
If you chose "Google" or "Other" above*
Please enter the search terms you used on Google or if you chose other (example; used another search engine), please elaborate.

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