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
Necklace 16"
Necklace 18"
Necklace 20"
Necklace 24"
Necklace 30"
Necklace 36"
Necklace XX"(specify below)
Bracelet 6 1/2"
Bracelet 7 1/4"
Bracelet 8"
Bracelet XX"(specify below)
Anklet 9"
Anklet 10"
Anklet 11"
Anklet XX"(specify below)
Earrings Sterling Silver
Earrings Silver Plated
Earrings Vermeil
Earrings Gold Plated
Earrings 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.)