Necklace Order Form
Products
*
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Pointed Green Flourite
$
20.00
Quantity
0
Pointed Rose Quartz
$
20.00
Quantity
1
2
3
4
5
6
7
Wire Color
Gold
Silver
Pointed Rainbow Moonstone
$
17.99
Quantity
0
1
Wire Color
Gold
Silver
Pointed Amethyst
$
20.00
Quantity
1
2
3
4
5
6
7
8
9
10
Wire Color
Gold
Silver
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Shipping Information
Address
*
Street Address
Apt / Suite / etc
City
State
Postal / Zip Code
Full Name
*
First Name
Last Name
E-mail
*
example@example.com
Instagram
@example
Payment Option
*
PayPal Invoice
Zelle
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