Custom Order Form

Please provide the following contact information:

Name
Work Phone
Home Phone
E-mail

Please provide the following product information: (Copy and Paste the title of the bead, jewelry, or number of item if available from the page your item is on)

Product Name

Please provide the following ordering information:

QTY	DESCRIPTION (copy and paste from item on page)

	SHIPPING
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

Bracelets:  Choose one of the following options:  (See more info here on Bracelet Length)

Choose your Bracelet Length 7 7.5 8 8.5

Necklaces:  Choose one of the following options:

Choose your Necklace Length 16 inches 18 inches 20 inches 22 inches

Metals:  Choose one of the following options:

Choose your choice of metals Gold Filled/Vermeil Sterling Silver

Choose one of the following options:

Choose your choice of closure Lobster Clasp Hook and Eye