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Lolo&Sam
Custom Jewelry Order Form
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1
NAME :
*
This field is required.
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2
CONTACT NUMBER :
*
This field is required.
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3
Email
example@example.com
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4
ORDER : Colors, Charms, etc
*
This field is required.
You can see samples on IG @lolo_n_sam or FB Lolo&Sam
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5
Who is it for?
Man/boy
Woman/Girl
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6
What size?
Toddler
Child
Adult
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7
if you’re requesting a specific length, please specify here
blank
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8
Include glasses attachments?
Clear, or black with silver or gold sizer $1 or black, sterling silver, or rose gold metal $2
YES
NO
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9
COMPLETE SHIPPING ADDRESS
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10
MODE OF PAYMENT
Venmo
PayPal
Other
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