Blessings Box
Story Submission Order Form
Name
*
First Name
Last Name
Email
*
example@example.com
Recipients Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
1. What would you like this piece to honor or hold space for?
*
(Examples: grief, growth, celebration, trauma healing, self-love, spiritual connection…there’s no wrong answer!)
2. Is this artwork for you or a gift for someone else?
*
(If a gift, what would you like them to feel or receive from this? You can also write a custom note in this space as well)
3. Please share a bit of your story, memory, or intention for this piece.
*
(There’s no wrong way to write this- it can be one sentence or a full page.)
4. What emotions or energy would you like the painting to carry?
*
(Examples: peace, protection, release, hope, comfort, divine connection…)
5. Are there any specific colors, symbols, or elements you feel drawn to?
*
(Ex: moody colors, airy colors, crosses, flowers, moons, etc)
6. Would you prefer a short prayer, an affirmation, a soft message, or a short meditation with your piece? (You may choose as many as you would like. First one included, each additional $2)
*
Prayer
Affirmation
Soft Spiritual Message
Short Meditation
Surprise Me
7. Which sacred item would you like included?(Choose as many as you would like. First one included, each additional $3)
*
Palo Santo
Sage
Essential Oil customized to match your intentions
Hope Stone
Surprise Me
8. Anything else you’d like me to know before I begin creating?
(Whispers, wishes, or anything that matters…)
Please make sure to check the boxes and select any additional items you have requested below!
If additional items are requested but not selected below, they will not be included. Thank you!
My Products
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Blessings Box
Every kit I send includes a custom 8x10 painting inspired by your story, a sacred message, and small ritual elements to hold you gently in your healing.
$
45.00
Additional Sacred Message
Prayer, Affirmation, Spiritual Message, Short Meditation
$
2.00
Quantity
1
2
3
4
5
6
7
8
9
10
Additional Ritual Element
Palo Santo, Sage, Essential Oil, Hope Stone
$
3.00
Quantity
1
2
3
4
5
6
7
8
9
10
Submit
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