BEADS WITH HEART
Handcrafted Beaded Jewelry & Custom Orders
Custom Order Form
First Name
Last Name
Address #1
Address #2
City
State
ZIP
E-Mail address
Phone #
Item
16"
18"
20"
24"
30"
36"
Necklace XX"(specify below)
6 1/2"
7 1/4"
8"
Bracelet XX"(specify below)
9"
10"
11"
Anklet XX"(specify below)
Sterling Silver
Silver Plated
Vermeil
Gold Plated
Copper
Today's Date
Date Needed
Clasp (check one)
Toggle
(Ring & Bar)
Trigger (Lobster Claw)
Other
Earwire (check one)
Fishhook
Leverback (Hinged)
Other
Would you be using? (check all that apply)
Gemstones
(specify below)
Freshwater
Pearls
Metal
(specify below)
SwarovskiŽ Crystals
Special Instructions?
(colors,birthstone,etc.)
