Candle Design Request
Thank you for trusting us with this Sentimental project. Please complete as much as possible. Once we receive your request we will reach out to discuss your design and send a draft within 2 days. This order form does NOT include your payment - it is just a form to gather information for your design. Once we send the draft we can email a Square invoice for payment with a card. Normal orders are created and shipped within 1 week.
Your Name
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First Name
Last Name
Valid Email
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Phone Number
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Area Code
Phone Number
Type of Candle
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$25 - Tall Glass Journey Candle
Other
How Many Candles?
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Please add the total number of candles you'd like to order - for large orders please email or call to discuss production time.
Loved One's Name
*
Please enter their name as you'd like it on the candle.
First Line of Journey Candle
In Loving Memory Of
In Remembrance
Always in Our Hearts
In Honor Of
Other
Your Loved One's Date of Birth
/
Month
/
Day
Year
Date Picker Icon
Your Loved One's Date of Passing
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Month
/
Day
Year
If no date is entered, no date will appear on the candle.
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Do You Wish to Add a Photo (or multiple photos)?
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No Photo
Yes, I will upload below or email my photo(s)
Photo(s) for candles:
Browse Files
Drag and drop files here
Choose a file
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of
Enter your favorite design template name (see the TALL GLASS CANDLES DESIGNS or FLAMELESS DESIGNS pages on our website for designs), or describe your custom candle idea here:
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May we use images of your finished candle as examples of our work?
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Yes, you have my permission to use images of my finished candle.
No, please do not share images of my finished candle.
Do you need gift bags for your candles?
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Yes, please include the same number of gift bags as candles. (I understand I will need to place the candles in the bag upon their arrival)
No, please do not send any bags.
It is shipping as a gift directly to the recipient - please pack nicely and include a card (Enter card message below) - NO gift bags
Other Number of Bags (Enter here)
Gift Card message *if any*
Date Candle(s) are Needed By (at least 2 weeks from order date to allow for design approval (within 7 days), creation and shipping) Normal orders are created and shipped within 2 weeks. Rush orders can be created within 1 week for additional $30 fee.
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Month
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Day
Year
Date of delivery or pickup
Address if Shipping is Required* Adds $13-25, please select appropriate shipping options during checkout.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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