Jen Middleton Maker

Jen Middleton Maker

Hand-painted Denim Jacket Order Form
Hey y'all! Thank you so much for your interest in a custom, hand-painted denim jacket from me. I truly appreciate your support in this creative endeavor of mine.
Your Name*

First NameLast Name
E-mail for contact
Today’s Date

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Date
I understand and agree
Jacket Size (XS-XXL)
Classic BlueDark WashLight Wash
Classic (no fray or rips in denim)Distressed look
PRICING IS AS FOLLOWS:

One color name/design on back of shoulders: $110 (Ex: Bride, Mrs. Middleton)

Multi-color name/design on shoulders and top part of jacket: $125 (Ex: Teacher Name Jackets)

Full back square (no shoulders): $135

Full back, square + shoulders: $150

Front pocket art: +$5

Both front pocket art: +$10

Bedazzling: +$10 (pearls, gems, rhinestones)

Examples and clarification on Facebook page "Jen Middleton Maker" or can be emailed upon request.
One Color (Shoulders only)Multi-color (Shoulders + Top half of jacket)Full Back SquareFull Back Square + ShouldersOne Pocket ArtTwo Pocket ArtBedazzle It! (Pearls, rhinestones, gems)
Please add all of the details and requests for your jacket below. Specify things like colors, type of bedazzling, right or left pocket design, etc.
As many details as possible, please.
Inspiration photos: (I will not directly duplicate someone else’s work)

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ShippedPick-up
Delivery Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
VenmoZelle
Reminders:
1. Jackets are shipped one month after ordering.
2. A confirmation response will be sent 1-2 business days after completion of survey. A payment request will follow.
3. Payment must be received by me within 2 days of payment request. Your order will not be completed unless this is done.
4. As of now, shipping is included, a deduction will be made for local pickups.
5. Messages received after 7PM will be responded to the following day.
Should be Empty: