Jordan's Rocks

Jordan's Rocks

Use this form to customize 2 rocks
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Rock # 1
Please select which style of rock you want (Colors can be customized)*
I would like to be contacted to change the color. (Please note, you will be contacted after payment. If it is determined that we cannot provide you with the colors that you want during the initial conversation, you will get a refund and the rock will not be shipped)

I would like to be contacted to change the colors of the rock I picked.

QR code?

QR code links to www.donatelife.net
Please select if you would like a qr code on your rock or not

Yes, I would like the QR codeNo, I don't want a QR Code
Personalization For Rock

Please select if you would like to personalize your rock
Please select only one option for Rock

No personalization at allLeave original personalization (Jordan's initials)I would like to add my own personalization
FOR ROCKS A-F - please add up to 3 letters to be added to your rock
FOR ROCK G - Fill this section out only if you selected Rock F - Please add up to 3 names to add to rock. If you only put 1 name, there will only be one cloud, if you put 2 names, there will be 2 clouds, etc.

Rock #2
Please select which style of rock you want (Colors can be customized)*
I would like to be contacted to change the color. (Please note, you will be contacted after payment. If it is determined that we cannot provide you with the colors that you want during the initial conversation, you will get a refund and the rock will not be shipped)

I would like to be contacted to change the colors of the rock I picked.

QR code?

QR code links to www.donatelife.net
Please select if you would like a qr code on your rock or not

Yes, I would like the QR codeNo, I don't want a QR Code

Personalization For Rock

Please select if you would like to personalize your rock
Please select only one option for Rock

No personalization at allLeave original personalization (Jordan's initials)I would like to add my own personalization
FOR ROCKS A-F - please add up to 3 letters to be added to your rock
FOR ROCK G ONLY - Fill this section out only if you selected Rock F - Please add up to 3 names to add to rock. If you only put 1 name, there will only be one cloud, if you put 2 names, there will be 2 clouds, etc.

PAYMENT
2 Rocks are a $35 or more donation. Free shipping on all orders. Items are shipped within 5-7 business days of ordering

Please enter your donation of $35 more*

USDDescription

Rock # 1