Order
Form Page 2
| Information:
Since the designing, selection, and programming of the jewelry is
specific for the recipient, please provide the following information: |
| Name: |
Sex: |
Birth
date: |
| Breed/Type
of animal if this is not a person: |
| Items
available: Please refer to our web site for examples of our
work. If you see a design or portion of a design you especially like,
we can most likely incorporated it into your item. Under Special Instructions,
write down the code number found with the description and what you
liked about the design(s). |
| [] Necklace
– size _____ |
[] Bracelet
– size ______ |
[] Anklet
– size____ |
[] Earrings
– post |
| [] Earrings
– wire |
[] Pendulum
end |
[] Cell
phone tag |
[] Lapel
stick pin |
| [] Strings* |
[] Collar/harness
tag* |
[] Book
mark clip* |
|
| *Strings
and collar tags come with your choice of fastener on the top. |
| Fasteners
available: |
[] Lobster
Claw |
[] Split
Ring |
[] Lanyard
Clasp |
| *Strings
and book mark clips have either a sterling silver charm or crystal
bead on the end. |
|
**Please check the web site or email for available charms. [] Charm
_____________________ |
| Stones:
If you would like to see a specific stone(s) or color of stone(s)
used in your design please indicate your choices: |
| |
| Themes:
Although the following are examples of themes designed for the strings,
they may be used for other items. |
| [] Zodiac
sign |
[] Birth
stone month |
[] Element
(earth, wind, fire, water) |
| Attributes:
Since gemstones affect the physical, mental, and spiritual aspects
of the individual, they can be selected based on their attributes.
Examples are below or you may identify different attributes. It is
best to use only one or two attribute per item. |
| Physical: |
detoxify |
endocrine |
muscular |
pain |
reproductive |
skin |
| circulation |
digestive |
immune |
nervous |
respiratory |
skeletal |
urinary |
| Mental: |
abundance |
calming |
confidence |
creativity |
grounding |
motivation |
| acceptance |
balance |
concentration |
cooperation |
energize |
intuition |
protection |
| Emotional: |
anxiety |
change |
depression |
love |
stress |
memory |
* * * * *
* * * * * * * * * * * * * * * * * * Thank you for your order * * * * *
* * * * * * * * * * * * * * * * * *
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If you are sending in a custom order be sure to print page
one * * * * * * * * * *
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