Crown Creatrix Form

Shaktified Arts Crown Creatrix Form
Personal Information
Full Name

First NameLast Name
Address (for shipping/delivery)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
E-mail
example@example.com
Questions and Details
What brings you to seek an adornment from Shaktified Arts? In what setting(s) do you plan to wear your piece?
What style of adornment are you interested in ordering?

Full-Size HeaddressHeadband Face ChainHead ChainCrystal Crown (headband style)Crystal Crown with Face ChainTiaraNose ChainOther
If "Other", please describe any basic aspects of the design that you're already clear on.
Date by which you'd like to have your completed piece:

MonthDayYear
Date
Do you want your piece to light up? If so, what color(s) of light?
MEASUREMENTS (complete all that may apply to your design)

Ear to Ear (from where ear connects to head, over top of head to other side)
Top of Ear across forehead/eyebrows to other side
Top of head to front hair line
Top of head to between eyebrows
Head circumference (horizontal, eyebrow level)
What lights you up? What are your passions? The more I know about what you're dreaming into, the more specific the intentions that get infused into your piece. :-)
Please share about any figures, archetypes, icons, and/or deities would you like to evoke in your piece. And what culture(s), tradition(s), and/or historical time period(s) do you feel most connected to?
Are there any objects or symbols that you feel most represent who you are, or represent a part of you that you want to express?
Please list what resonates with you most in the following categories: Colors, Metals, Materials, Shapes, Textures, Animals, Natural Elements
Do you want to bring your spirituality into this headpiece? If so, what principles are most central to you in this regard?
Please add photos of your head (front and side views), as well as any reference and/or inspiration images (including screen shots of pieces from my gallery) here:

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Any notes you'd like to add? Anything you specifically want to avoid? (e.g., metal allergies, animal skins, certain colors, etc.)
Date

MonthDayYear
Date
I'm elated at this opportunity to co-create with you

a wearable affirmation of your unique self-expression.

I will reach out to you to discuss the next steps.

Thank you for supporting my artistry!!

~Joanna Shakti Grace
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Shaktified Arts Crown Creatrix Form

Personal Information

Questions and Details