Constants and Variables: We Make Numbers Beautiful, Fine Jewelry and Necklaces

Custom Necklace Order Form - We Design

Congratulations! You have decided to order the most unique gift you can give to your special person or yourself!

Directions
1. Please complete the following form. REQUIRED FIELDS ARE BOLDED
2. No payment is due now. Once we receive your order, we will contact you to finalize payment.
We currently accept payment by money order, cashier's check or Paypal.
3. Once your payment is finalized, you will receive your new necklace within 10 business days.

1. Contact Information
Name
Address
City	State
Zip Code
Phone	Email
2. Necklace Information
Date to be represented in necklace:	(_ _/_ _/_ _ _ _) OR Number to be represented in necklace
Desired Length	If 'other' please enter length here:
Clasp	( View Clasps )
Necklace Details: Please enter any design details or ideas you would like us to incorporate when building your necklace.
3. Additional Comments
Comments:

Barrel - Sterling Silver Filigree - 14kt Gold-Filled Elephant - 14kt Gold-Filled	Spring - Sterling Silver Toggle - 14kt Gold-Filled