Custom Order Form

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Water, Lotus flower and a phoenix rising from inside the lotus

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Contact Us

Phone:

(260) 442-6961

Email:

info@inspirationsbyrochelle.com

Address:

Fort Wayne, IN 46816

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First Name

Phone

Last Name

Email

Choose the type of metal. * Required

14k Gold

18k Gold

White Gold

.925 Sterling Silver

Select which items you desire. * Required

Necklace

Double Necklace

Tripple Necklace

Earrings

Bracelet

Hand Thongs

Anklet

Two Piece Set

Three Piece Set

Four Piece Set

Multiple Sets

Description: (list any colors, or specific gemstones/crystals , quantity of each item you would like. If you have a particular theme you would like us to custom make, please enter it in the description box below.

If you have a sample photo.

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Custom Order Form

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