DINNERWEAR JEWELRY CUSTOM ORDER FORM
Phone Number: __________________________ Circle best time to call: AM or PM
Email Address: _______________________________________________________
Feel free to call or text Mary-Ann with any questions: 508-641-9078
______ Small heart pendant necklace ($78)
______ Large heart pendant ($120)
______ Oval or round pendant necklace ($85)
______ Double pendant necklace with crystal or pearl drop ($140)
______ Large circle floral setting pendant ($120)
______ Tassel pendant necklace, circle or oval ($140)
______ Adjustable round ring ($58)
______ Adjustable square ring ($78)
______ Dangle earrings, circle or oval ($95)
______ Round cufflinks ($160)
______ Bracelet charm ($78)
______ Circle cuff bracelet ($95)
______ Oval cuff bracelet with rope detail ($199)
______ Expandable bangle bracelet, size s/m or m/l ($120)
______ Pin, sterling silver ($78)
______ Christmas Ornaments, heart ($68)
All necklaces come with a 16” chain. You may upgrade to 18”, 20” or 24”. All custom order jewelry is sterling silver. Add a crystal or pearl drop for $10. There is an up-charge of $20 per piece of jewelry made from a teacup or curved china.
How many pieces are you sending with this order? __________________________________________
Please describe them :________________________________
Special Requests: _______________________________________________________________
I will make my best effort to create beautiful jewelry for you. In the event of unexpected breakage, loss or any other damage, our liability is limited to the replacement value of the pieces you have entrusted to us.
1. Fill out the form.
2. Using tape or a marker, please indicate with circles the parts of your china you’d like us to cut. You can also ask us to suggest areas.
3. Pack your china in a sturdy shipping box, using plenty of padding.
4. Include this form in the shipping box with your china.
5. Please sign here to show that you have read the terms and agree to them.
Ship this form with your china to:
1237 Pond Street
Franklin, MA 02038
I’ll contact you when your china arrives to go over your order with you.
I look forward to talking with you and seeing what you have!