Custom Design Order Form

Your Information:

First Name:
Last Name:
Email Address:
Phone Number, Including Area Code:
Mailing Address:
City:
State:
Zip Code:
Best Time to Contact:

Type of Jewelry:

Item you would like to order:

Necklace Length:

Necklace Shape:

Bracelet/Watch Length:

Earring Length:

Earring Posts:

Accents:

Do you want the piece(s) to include accents?

Accent Type:

Accent Shape:

Accent Size:

Gemstones:

Do you want the piece(s) to include Gemstones?

Gemstone Primary Accent:

Gemstone Secondary Accent:

Gemstone Shapes:

Gemstone Size:

Pendants:

Do you want the piece(s) to include a pendant?

Pendant Shape:

Pendant Size:

Austrian Swarovski Crystals:

Do you want the piece(s) to include Austrian Swarovski Crystals?

Austrian Swarovski Crystals:

Austrian Swarovski Crystal Shapes:

Austrian Swarovski Crystal Size:

Austrian Swarovski Pearls:

Do you want the piece(s) to include Austrian Swarovski Pearls?

Austrian Swarovski Pearls:

Other Information:

Special instructions, notes, or other infomation:

Amount you are willing to spend:

Date Needed By:

Design on Site you would like something similar to (enter the product number):

I agree to the following:

Beadazzling Couture will contact you with a few more questions regarding your custom piece and the cost of your design. A 50% deposit will be required once the custom jewelry piece design has been agreed upon. Once the deposit has been received, alteration of a custom order will no longer be available. Once the deposit has been received, cancellation of a custom order will require forfeiture of deposit. All custom-made jewelry items are non-refundable and non-exchangeable.