Custom Order Form
Name:_____________________________________ Order Date:_________________
Address: _______________________________________________________________
City: ______________________________________State: ______Zip: _____________
Email:_____________________________Phone:____________ Cell: _____________
Article: necklace earrings bracelet anklet glasses holder
Material - Primary: stone pearl shell glass wood
Secondary: stone pearl shell glass wood
Clasp: lobster claw spring-ring toggle hook loop
Clasp Metal: gold-filled over sterling sterling silver
gold plated over stainless steel. silver over stainless steel
gold plated over brass. silver plated over brass
copper brass gun metal antiqued
Necklaces:
Style: strung 1/2 moon. 1/4 moon with pendant. knotted
lariat beaded lace pendant
Length: 15 18. 21 24 40 other________
Earrings:
Style: pin. hinged-pin sewn hoop loop drop length: __________
Ear-wire: fishhook kidney lever back. stud non-pierced
Bracelets/Anklets:
Measurements: Wrist: ________________Bracelet: _________________
Ankle: _______________Anklet: ____________________
Glasses Holder: (Refer to color list in About our Products)
Color - primary: ___________________ secondary ____________________
Additional Notes: