---
title: loved-one-form
---

- 0.25
  
   26,350
  
   5
  
   Raw
- 0.3
  
   36,920
  
   5
  
   Raw
- 0.4
  
   39,950
  
   5
  
   Raw
- 0.5
  
   52,980
  
   6
  
   Raw
- 0.6
  
   66,180
  
   6
  
   Raw
- 0.7
  
   80,010
  
   7
  
   Raw
- 0.8
  
   99,300
  
   7
  
   Raw
- 0.9
  
   115,170
  
   8
  
   Raw
- 1
  
   128,600
  
   8
  
   Raw
- 0.3
  
   46,920.00
  
   6
  
   Brillant
- 0.4
  
   60,950
  
   6
  
   Brillant
- 0.5
  
   76,890
  
   7
  
   Brillant
- 0.6
  
   101,180
  
   7
  
   Brillant
- 0.7
  
   118,010
  
   8
  
   Brillant
- 0.8
  
   146,300
  
   8
  
   Brillant
- 0.9
  
   169,170
  
   9
  
   Brillant
- 1
  
   187,600
  
   9
  
   Brillant
- 0.3
  
   50,070
  
   6
  
   Princess
- 0.4
  
   64,100
  
   6
  
   Princess
- 0.5
  
   80,040
  
   7
  
   Princess
- 0.6
  
   104,330
  
   7
  
   Princess
- 0.7
  
   121,160
  
   8
  
   Princess
- 0.8
  
   149,450
  
   8
  
   Princess
- 0.9
  
   172,320
  
   9
  
   Princess
- 1
  
   190,750
  
   9
  
   Princess
- 0.3
  
   50,070
  
   6
  
   Oval
- 0.4
  
   64,100
  
   6
  
   Oval
- 0.5
  
   80,040
  
   7
  
   Oval
- 0.6
  
   104,330
  
   7
  
   Oval
- 0.7
  
   121,160
  
   8
  
   Oval
- 0.8
  
   149,450
  
   8
  
   Oval
- 0.9
  
   172,320
  
   9
  
   Oval
- 1
  
   190,750
  
   9
  
   Oval
- 0.3
  
   50,070
  
   6
  
   Emerald
- 0.4
  
   64,100
  
   6
  
   Emerald
- 0.5
  
   80,040
  
   7
  
   Emerald
- 0.6
  
   104,330
  
   7
  
   Emerald
- 0.7
  
   121,160
  
   8
  
   Emerald
- 0.8
  
   149,450
  
   8
  
   Emerald
- 0.9
  
   172,320
  
   9
  
   Emerald
- 1
  
   190,750
  
   9
  
   Emerald
- 0.3
  
   50,070
  
   6
  
   Asscher
- 0.4
  
   64,100
  
   6
  
   Asscher
- 0.5
  
   80,040
  
   7
  
   Asscher
- 0.6
  
   104,330
  
   7
  
   Asscher
- 0.7
  
   121,160
  
   8
  
   Asscher
- 0.8
  
   149,450
  
   8
  
   Asscher
- 0.9
  
   172,320
  
   9
  
   Asscher
- 1
  
   190,750
  
   9
  
   Asscher
- 0.3
  
   50,070
  
   6
  
   Radiant
- 0.4
  
   64,100
  
   6
  
   Radiant
- 0.5
  
   80,040
  
   7
  
   Radiant
- 0.6
  
   104,330
  
   7
  
   Radiant
- 0.7
  
   121,160
  
   8
  
   Radiant
- 0.8
  
   149,450
  
   8
  
   Radiant
- 0.9
  
   172,320
  
   9
  
   Radiant
- 1
  
   190,750
  
   9
  
   Radiant
- 0.3
  
   50,070
  
   6
  
   Heart
- 0.4
  
   64,100
  
   6
  
   Heart
- 0.5
  
   80,040
  
   7
  
   Heart
- 0.6
  
   104,330
  
   7
  
   Heart
- 0.7
  
   121,160
  
   8
  
   Heart
- 0.8
  
   149,450
  
   8
  
   Heart
- 0.9
  
   172,320
  
   9
  
   Heart
- 1
  
   190,750
  
   9
  
   Heart

![logo](https://www.algordanza.com.hk/hubfs/Order%20Form%20Images/algordanza-logo-white.svg)

# Memorial Diamond Order Form

![forlovedone](https://www.algordanza.com.hk/hubfs/Order%20Form%20Images/Banner%20img.webp)

## ForLoved one

ENGLISH

繁體中文

简体中文

 1

PART 1 Remitter

 2

PART 2 Loved One

 3

PART 3 Diamond Recipient

 4

PART 4 Source of Carbon

 5

PART 5 Diamond Details

 6

PART 6 Extra Diamonds

 7

PART 7 Remarks

 8

PART 8 Review Your Information

![logo](https://www.algordanza.com.hk/hubfs/Order%20Form%20Images/algordanza-logo-white.svg)

## Part 1: Remitter

Name *

Address*

Email *

Invalid email domain.

Telephone(Country Code + Telephone number)*

## Part 2: Loved One

#### LOVED ONE

Name of Deceased

Relationship with Deceased

Born *

Deceased *

Please Upload a Copy of the Death Certificate and Cremation Certificate*

###### Drag & drop files or browse

Browse Supported formats: JPEG, PNG, PDF

Uploaded

Capture Photo

Use Camera and Take Photo

## Part 3: Diamond Recipient

Same as Remitter

Name *

Address *

Email *

Invalid email domain.

Telephone *

Please Upload a Copy of Your Hong Kong ID*

###### Drag & drop files or browse

Browse Supported formats: JPEG, PNG, PDF

Uploaded

Capture Photo

Use Camera and Take Photo

## Part 4: Source of Carbon

Funeral Home/Crematory

Address

Source of Carbon *

###### Hair

 11g of hair is required to create hair only diamonds.

###### Ashes (+$990)

 A minimum of 500 grams of ashes is required, regardless of the size of the memorial diamond. Please provide an additional source or contact us if less than that is available. If ashes is used, HKD 990 will be added to the price.

Can You Provide 500g of Ashes? *

Yes

No

What is Your Additional Source of Carbon? *

 Hair and memorabilia such as clothes, favourite books, shoes can all be used as long as the memorabilia is made of natural, combustible materials

Hair

Other

 Handling of Excess Ashes

Use up all the ashes

## Part 5: Diamond Details

#### Individual Diamonds

 Choose from a variety of cuts and sizes to create one or more unique memorial diamonds.

 Available in brilliant, emerald, asscher, princess, radiant, heart and raw cut

 0.3, 0.4, 0.5, 0.6, 0.7, 0.8, 0.9 and 1.0 ct

#### Family Package

 If you would like to get a set for the whole family, we are able to create more than one memorial diamonds from the provided cremated remains or hair of your loved one.

 Available in brilliant and raw cut

 0.15, 0.2 and 0.25 ct

###### Individual Diamonds

 Diamond Details

 The brilliant cut is included in the base price at no additional cost. Special cut such as Emerald, Asscher, Princess, Radiant and Heart cost an additional HKD 3150. Multiple diamonds can be made from a single source. For the second and each additional diamond, the price is reduced by 5% and then 7.5% thereafter.

![icon](https://www.algordanza.com.hk/hubfs/Order%20Form%20Images/icon_1.png) Carat Size (+/-0.04ct) *

 Due to the complex manufacturing process, the diamond may become larger or smaller. If the diamond is more than 0.04 ct smaller, we will charge the price for the smaller diamond. If the diamond becomes larger, the price of the ordered weight remains the same.

![size](https://www.algordanza.com.hk/hubfs/Order%20Form%20Images/Brillant%20(3).png)

0.3 ct 4.4 mm

![size](https://www.algordanza.com.hk/hubfs/Order%20Form%20Images/Brillant%20(4).png)

0.4 ct 4.8 mm

![size](https://www.algordanza.com.hk/hubfs/Order%20Form%20Images/Brillant%20(5).png)

0.5 ct 5.2 mm

![size](https://www.algordanza.com.hk/hubfs/Order%20Form%20Images/Brillant%20(5).png)

0.6 ct 5.8 mm

![size](https://www.algordanza.com.hk/hubfs/Order%20Form%20Images/Brillant%20(7).png)

0.7 ct 6.1 mm

![size](https://www.algordanza.com.hk/hubfs/Order%20Form%20Images/Brillant%20(8).png)

0.8 ct 6.1 mm

![size](https://www.algordanza.com.hk/hubfs/Order%20Form%20Images/Brillant%20(9).png)

0.9 ct 6.4 mm

![size](https://www.algordanza.com.hk/hubfs/Order%20Form%20Images/Brillant%20(10).png)

1 ct 6.5 mm

![icon](https://www.algordanza.com.hk/hubfs/Order%20Form%20Images/Desktop.png) Cut *

![cut](https://www.algordanza.com.hk/hubfs/Order%20Form%20Images/Raw.png)

 Raw

![cut](https://www.algordanza.com.hk/hubfs/Order%20Form%20Images/Brillant.png)

 Brillant

![cut](https://www.algordanza.com.hk/hubfs/Order%20Form%20Images/Princess.png)

 Princess

![cut](https://www.algordanza.com.hk/hubfs/Order%20Form%20Images/Brillant%20(9).png)

 Oval

![cut](https://www.algordanza.com.hk/hubfs/Order%20Form%20Images/Emerald.png)

 Emerald

![cut](https://www.algordanza.com.hk/hubfs/Order%20Form%20Images/Asscher.png)

 Asscher

![cut](https://www.algordanza.com.hk/hubfs/Order%20Form%20Images/Radiant.png)

 Radiant

![cut](https://www.algordanza.com.hk/hubfs/Order%20Form%20Images/Heart.png)

 Heart

###### Color

 The natural colour ranges from light blue to intense blue and is influenced by the composition of the ashes.   
 We do not manipulate the color of the ashes in any way. 

![img](https://www.algordanza.com.hk/hubfs/Order%20Form%20Images/Blue%20Coloration%201.webp)

 Estimated Production Time

 --

 Estimated Price

 --

 Deposit

 --

###### Family Package

 Diamond Details

![icon](https://www.algordanza.com.hk/hubfs/Order%20Form%20Images/Desktop.png) Cut *

![cut](https://www.algordanza.com.hk/hubfs/Order%20Form%20Images/Brillant%20(2).png)

 Brilliant

![cut](https://www.algordanza.com.hk/hubfs/Order%20Form%20Images/Raw.webp)

 Raw

![icon](https://www.algordanza.com.hk/hubfs/Order%20Form%20Images/icon_1.png)Carat Size (+/-0.04ct)*

 Due to the complex manufacturing process, the diamond may become larger or smaller. If the diamond is more than 0.04 ct smaller, we will charge the price for the smaller diamond. If the diamond becomes larger, the price of the ordered weight remains the same.

![size](https://www.algordanza.com.hk/hubfs/Brillant%20(1).png)

2 X 0.20 ct

4 52880

![size](https://www.algordanza.com.hk/hubfs/Brillant%20(1).png)

3 X 0.15 ct

2 66940

![size](https://www.algordanza.com.hk/hubfs/Brillant%20(1).png)

4 X 0.15 ct

3 86930

![size](https://www.algordanza.com.hk/hubfs/Brillant%20(1).png)

2 X 0.25 ct

2.5 47930

![size](https://www.algordanza.com.hk/hubfs/Brillant%20(1).png)

3 X 0.20 ct

1 56940

###### Color

 The natural colour ranges from light blue to intense blue and is influenced by thecomposition of the ashes.   
 We do not manipulate the color of the ashes in any way. 

![img](https://www.algordanza.com.hk/hubfs/Order%20Form%20Images/Blue%20Coloration%201.webp)

 Estimated Production Time

 --

 Estimated Price

 --

 Deposit

 --

## Part 6: Extra Diamonds

Would you like to add a new diamond? *

Yes

No

## Part 7: Remarks

Requests

Max. 200 characters

## Part 8: Review Your Information

Part 1: Remitter EDIT

Name First Name Last Name

Address Address Line 1  
Address Line 2  
City     Country

Email Email address

Telephone +852 0000-0000

Part 2: Pet or Loved One EDIT

Name First Name Last Name

Relationship with Deceased Relationship

Born

Deceased

Documents Uploaded

Part 3: Diamond Recipient EDIT

Name First Name Last Name

AddressAddress Line 1  
Address Line 2  
City       Country

Email Email address

Telephone +852 0000-0000

Documents Uploaded

Part 4: Source of Carbon EDIT

Funeral Home/Crematory Name

Address Address Line 1  
Address Line 2  
City       Country

Source of Carbon xxg of Ashes

Additional Sources of Carbonno

Handling of Ashes Use up all the ashes

Part 5: Diamond Details ADD

##### Diamond #1

Remove

![daimond](https://www.algordanza.com.hk/hubfs/Order%20Form%20Images/Brillant%20(2).png)

Carat: 0.7 ct

Cut: Heart

Qty: 1

Estimated Production Time: 7 months

Estimated Cost: 33,000

 Diamond #1

![daimond](https://www.algordanza.com.hk/hubfs/Order%20Form%20Images/Brillant%20(2).png)

Carat: 0.7 ct

Cut: Heart

Qty: 1

Estimated Production Time: 7 months

Estimated Cost: 33,000

Total Estimated Production Time  --

Total Estimated Cost  --

Deposit (50%)  --

Part 7: Remarks EDIT

Requests

#### TERMS & CONDITIONS

I have read and agree to the terms & conditions

 Back

 Next

## Thank you for submitting your order form!

 A copy of your responses has been sent to your inbox and our corresponding staff will review your order and get back to you if there are any issues. If there are no issues, we will send a confirmed quote to you in 3-5 business days. Please feel free to contact us if you have any questions!

[+852 2895 2254](tel:+85228952254)

[scott.fong@algordanza.org](mailto:scott.fong@algordanza.org)

[+852 6305 0315](tel:+85263050315)

![icon](https://www.algordanza.com.hk/hubfs/Order%20Form%20Images/Rectangle%20132.png)

 Next Steps

 Please prepare the ashes and make the necessary arrangements with our staff for drop off

[Return](https://www.algordanza.com.hk/loved-one-order-form#)

 Terms and Conditions 

Your Agreement

**General Terms and Conditions (GTC)  
of Algordanza Limited (for the Hong Kong Market)**

1. ** Scope of Application**  
   01/2024  
   These General Terms and Conditions apply exclusively to all business relationships between Algordanza AG and its customers in Hong Kong, in the version valid at the time of contract conclusion. The customer’s terms and conditions do not apply. The GTC, which are accessible at any time on the internet at[www.algordanza.com.hk](https://www.algordanza.com.hk/?hsLang=en), become part of the contract with the written order confirmation by Algordanza AG (see Section 2), and the customer acknowledges them as binding.
2. ** Conclusion of Contract**  
   The customer places a written order with Algordanza AG for the production of a memorial diamond. The contract is formed when Algordanza AG confirms the customer’s order in writing (order confirmation).
3. ** Prices**  
   All prices exclude statutory taxes, including value-added tax (VAT), as applicable in Hong Kong. The prices valid at the time of the order, as per the current price list, apply. If the customer chooses to collect the diamond at Algordanza AG’s headquarters in Switzerland, Swiss VAT will be added to the final price at the prevailing rate.
4. ** Payment Terms**  
   Upon order placement and order confirmation, the customer pays a deposit of 50% of the total price (excluding taxes), unless otherwise stated in the order confirmation. The remaining payment, including any applicable taxes (e.g., Swiss VAT for collection in Switzerland), is due before delivery or collection of the diamond. Production of the diamond begins after receipt of the deposit and the carbon source.
5. ** Custom Production**  
   Algordanza memorial diamonds are individually crafted for each customer. Variations in color, shape, size, carat weight, clarity, or quantity do not constitute defects and do not entitle the customer to complaints, price reductions, or order cancellations, as these properties cannot be controlled. The basis for business and billing is always the achieved carat weight.
6. ** Further Processing**  
   Further processing of delivered diamonds (e.g., setting into jewelry) is at the customer’s risk. Algordanza is not liable for damage occurring after handover due to further processing. We note that diamonds—both lab-grown and mined—can be damaged under specific stress or by impact with other materials.
7. ** Withdrawal**  
   Withdrawal of the order is not permitted. Paid deposits are non-refundable.
8. ** Delivery Time**  
   Delivery time indications are approximate and non-binding. A potentially longer delivery time, up to twice the stated period, is considered normal.
9. ** Material Return**  
   Unless otherwise specified in the order, all provided material is used for diamond production. Any remaining material will be interred at our cemetery.
10. ** Liability**  
    Claims for damages of any kind are excluded unless mandatory law prohibits this provision.
11. ** Data Protection**  
    Data necessary for business transactions are stored in strict compliance with the applicable provisions of the Swiss Data Protection Act and any relevant Hong Kong data protection regulations. All personal data is treated confidentially and not shared with third parties.
12. ** Miscellaneous**  
    The invalidity of individual provisions of these GTC does not affect the validity of the contract or the remaining GTC. Upon publication of an updated version of the GTC, older versions lose their validity.
13. ** Applicable Law and Jurisdiction**  
    Swiss law applies. Swiss law also applies if the customer resides in Hong Kong or delivery is made to Hong Kong. The place of jurisdiction for all claims arising from or related to contractual agreements with Algordanza AG is Chur, Switzerland.

**Algordanza Limited ****一般條款及條件（****GTC****）****  
****適用於香港市場**

1. **適用範圍**  
   2024年1月  
   呢啲一般條款及條件（GTC）只適用於Algordanza AG同香港客戶之間嘅所有業務關係，以合約簽訂時有效嘅版本為準。客戶嘅條款及條件唔適用。GTC可以隨時喺網站[www.algordanza.com.hk](https://www.algordanza.com.hk/?hsLang=en) 查閱，喺Algordanza AG發出書面訂單確認（見第2項）後成為合約一部分，客戶承認呢啲條款對自己有約束力。
2. **合約簽訂**  
   客戶以書面形式向Algordanza AG下單，訂製紀念鑽石。當Algordanza AG以書面確認客戶訂單（訂單確認）後，合約正式成立。
3. **價格**  
   所有價格唔包括法定稅項，例如香港適用嘅增值稅（VAT）。以訂單時有效嘅價格表為準。如果客戶選擇喺瑞士Algordanza AG總部親自領取鑽石，最終價格將加收瑞士現行增值稅。
4. **付款條款**  
   喺下單同收到訂單確認後，客戶需支付總價格（不含稅項）50%嘅訂金，除非訂單確認書另有說明。餘款（包括適用稅項，例如喺瑞士領取時嘅瑞士增值稅）需喺交貨或領取鑽石前支付。收到訂金同碳源後，鑽石製作將開始。
5. **訂製生產**  
   Algordanza紀念鑽石為每位客戶獨立訂製。顏色、形狀、大小、克拉重量、淨度或數量嘅偏差唔算缺陷，客戶無權投訴、要求減價或取消訂單，因為呢啲特性無法完全控制。業務同結算嘅基礎永遠係實際達到嘅克拉重量。
6. **進一步加工**  
   交付後嘅鑽石進一步加工（例如鑲嵌成珠寶）由客戶自行承擔風險。Algordanza對交付後因進一步加工造成嘅損壞唔承擔責任。我哋提醒，無論係實驗室製造或開採嘅鑽石，喺特定壓力下或撞擊其他物料時都可能受損。
7. **撤銷**  
   訂單唔接受撤銷。已支付嘅訂金唔予退還。
8. **交貨時間**  
   交貨時間只係大概估計，無約束力。交貨時間可能比預期長，甚至長達指定時間嘅兩倍，屬正常範圍。
9. **材料退還**  
   除非訂單另有說明，所有提供嘅材料將用於鑽石製作。如有剩餘材料，將喺我哋嘅墓園安葬。
10. **責任**  
    除非強制性法律另有規定，任何形式嘅賠償要求一律唔受理。
11. **資料保護**  
    為業務處理所需嘅資料將嚴格遵守瑞士資料保護法同香港相關資料保護規例進行儲存。所有個人資料均保密處理，唔會透露畀第三方。
12. **其他**  
    呢啲GTC中個別條款無效唔影響合約同其他GTC條款嘅有效性。新版本GTC公佈後，舊版本即失效。
13. **適用法律同司法管轄權**  
    適用瑞士法律。即使客戶住喺香港或交貨到香港，亦以瑞士法律為準。所有同Algordanza AG合約協議相關或因此產生嘅索賠，司法管轄地為瑞士庫爾（Chur）。

Algordanza Limited 一般条款及条件（GTC）  
适用于香港市场

1. 适用范围  
2024年1月  
呢啲一般条款及条件（GTC）只适用于Algordanza AG同香港客户之间慨所有业务关系，以合约签订时有效慨版本为准。客户慨条款及条件唔适用。 GTC可以随时喺网站 www.algordanza.com.hk 查阅，喺Algordanza AG发出书面订单确认（见第2项）后成为合约一部分，客户承认呢啲条款对自己有约束力。

2. 合约签订  
客户以书面形式向Algordanza AG下单，订制纪念钻石。当Algordanza AG以书面确认客户订单（订单确认）后，合约正式成立。

3. 价格  
所有价格唔包括法定税项，例如香港适用慨增值税（VAT）。以订单时有效慨价格表为准。如果客户选择喺瑞士Algordanza AG总部亲自领取钻石，最终价格将加收瑞士现行增值税。

4. 付款条款  
喺下单同收到订单确认后，客户需支付总价格（不含税项）50%慨订金，除非订单确认书另有说明。余款（包括适用税项，例如喺瑞士领取时慨瑞士增值税）需喺交货或领取钻石前支付。收到订金同碳源后，钻石制作将开始。

5. 订制生产  
Algordanza纪念钻石为每位客户独立订制。颜色、形状、大小、克拉重量、净度或数量慨偏差唔算缺陷，客户无权投诉、要求减价或取消订单，因为呢啲特性无法完全控制。业务同结算慨基础永远系实际达到慨克拉重量。

6. 进一步加工  
交付后慨钻石进一步加工（例如镶嵌成珠宝）由客户自行承担风险。 Algordanza对交付后因进一步加工造成慨损坏唔承担责任。我哋提醒，无论系实验室制造或开采慨钻石，喺特定压力下或撞击其他物料时都可能受损。

7. 撤销  
订单唔接受撤销。已支付慨订金唔予退还。

8. 交货时间  
交货时间只系大概估计，无约束力。交货时间可能比预期长，甚至长达指定时间慨两倍，属正常范围。

9. 材料退还  
除非订单另有说明，所有提供慨材料将用于钻石制作。如有剩余材料，将喺我哋慨墓园安葬。

10. 责任  
除非强制性法律另有规定，任何形式慨赔偿要求一律唔受理。

11. 资料保护  
为业务处理所需慨资料将严格遵守瑞士资料保护法同香港相关资料保护规例进行储存。所有个人资料均保密处理，唔会透露畀第三方。

12. 其他  
呢啲GTC中个别条款无效唔影响合约同其他GTC条款慨有效性。新版本GTC公布后，旧版本即失效。

13. 适用法律同司法管辖权  
适用瑞士法律。即使客户住喺香港或交货到香港，亦以瑞士法律为准。所有同Algordanza AG合约协议相关或因此产生慨索赔，司法管辖地为瑞士库尔（Chur）。

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  "url" : "https://www.algordanza.com.hk/"
}
```