Order Form

Material (select one) *

German Silver

German Silver/Brown Steel

Silver Plated

Silver Plated/Black Background

Sterling Overlay

Solid Sterling

Finish (select one) *

Bright

Antiqued

Stones (check all that apply)

Red

Pink

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Cubic Zirconia

Turquoise (additional $10 per stone)

Other (include in Additional Notes below)

Name *

First Name

Last Name

Address *

Address 1

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