Custom Order Form
DINNERWEAR JEWELRY CUSTOM ORDER FORM
Name:__________________________________________________________________________
Address: _______________________________________________________________________
Name:__________________________________________________________________________
Address: _______________________________________________________________________
City, State, ZIP Code: _________________________________________________________
Phone Number: __________________ Email Address: ____________________________
Phone Number: __________________ Email Address: ____________________________
What is the best time of day for us to call you? Circle AM or PM
Feel free to call or text Mary-Ann with any questions: 508-641-9078
______ Small heart pendant necklace ($78)
______ Large heart pendant ($159)
______ Oval or round pendant necklace ($88)
______ Round pendant necklace with flower bail ($120)
______ Teardrop pendant necklace ($99)
______ Rectangular pendant necklace ($105)
______ Double pendant necklace with crystal or pearl drop ($150)
______ Large circle floral filigree pendant ($159)
______ Tassel pendant necklace, circle or oval ($150)
______ Dangle earrings, circle oval or rectangle ($120)
______ Dangle earrings, 14k gold ($259)
Feel free to call or text Mary-Ann with any questions: 508-641-9078
______ Small heart pendant necklace ($78)
______ Large heart pendant ($159)
______ Oval or round pendant necklace ($88)
______ Round pendant necklace with flower bail ($120)
______ Teardrop pendant necklace ($99)
______ Rectangular pendant necklace ($105)
______ Double pendant necklace with crystal or pearl drop ($150)
______ Large circle floral filigree pendant ($159)
______ Tassel pendant necklace, circle or oval ($150)
______ Dangle earrings, circle oval or rectangle ($120)
______ Dangle earrings, 14k gold ($259)
______ Stud earrings ($78)
______ Open circle hoop earrings ($105)
______ Round cufflinks ($170)
______ Three charm dainty bracelet ($130)
______ Single charm dainty bracelet ($88)
______ Adjustable bolo bracelet, round or oval size s/m or m/l ($68)
______ Circle cuff bracelet ($105)
______ Oval cuff bracelet ($115)
______ Expandable bangle bracelet, size s/m or m/l ($88)
______ Three charm dainty bracelet ($130)
______ Single charm dainty bracelet ($88)
______ Adjustable bolo bracelet, round or oval size s/m or m/l ($68)
______ Circle cuff bracelet ($105)
______ Oval cuff bracelet ($115)
______ Expandable bangle bracelet, size s/m or m/l ($88)
______ Adjustable round/square ring ($68/$78)
All necklaces come with a 16” chain. You may upgrade to 18”, 20”, 24” or a 22” adjustable chain. All custom order jewelry is sterling silver. 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.
MAILING INSTRUCTIONS:
1. Using tape, please indicate with circles the parts of your china you’d like us to cut. You can also ask us to suggest areas.
2. Pack your china in a sturdy shipping box, using plenty of padding.
3. Please sign here to show that you have read the terms and agree to them. Include the signed form in the box with your china.
Signature: _____________________________________ Date: __________________________
Ship this form with your china to:
Mary-Ann Wood 1237 Pond Street Franklin, MA 02038
All necklaces come with a 16” chain. You may upgrade to 18”, 20”, 24” or a 22” adjustable chain. All custom order jewelry is sterling silver. 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.
MAILING INSTRUCTIONS:
1. Using tape, please indicate with circles the parts of your china you’d like us to cut. You can also ask us to suggest areas.
2. Pack your china in a sturdy shipping box, using plenty of padding.
3. Please sign here to show that you have read the terms and agree to them. Include the signed form in the box with your china.
Signature: _____________________________________ Date: __________________________
Ship this form with your china to:
Mary-Ann Wood 1237 Pond Street Franklin, MA 02038
I’ll contact you when your china arrives so we can begin designing.
I look forward to talking with you and seeing what you have!
I look forward to talking with you and seeing what you have!