Ultrasound Photo Crystal Order Form
Crystal Shape
*
Tower
Brick (choose for 2d profiles or wider pictures)
Heart
Brick
Tower
Heart
Tower Crystal Size (LxWxH)
*
$45, Mini, 1.18" x 1.18" x 2.36"
$69, Small, 1.97" x 1.97" x 3.15" (store display)
$99, Medium, 2.36" x 2.36" x 3.54"
$149, Large, 3.15" x 2.36" x 4.72"
$259, XXL, 3.94" x 2.36" x 5.91"
Brick Crystal Size (LxWxH)
*
$69, Small, 3.15" x 1.97" x 1.97" (store display)
$99, Medium, 3.54" x 2.36" x 2.36"
$149, Large, 4.72" x 2.36" x 3.15"
$259, XXL, 5.91" x 2.36" x 3.94"
Heart Crystal Size (LxWxH)
*
$129, Medium, 2.95" x 1.57" x 3.15" (store display)
$219, Large, 3.54" x 2.36" x 3.94"
Upload Ultrasound Photo (jpeg only)
Choose Photo
Cancel
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What would you like engraved on your crystal? (ex. baby name, phrase, etc.)
Light base option (illuminates your crystal to make the engravings stand out)
*
none
$20, black base
$25, rotating round base
$30, wood grain base
Black base
Rotating round base
Wood Grain Base
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Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Shipping Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Submit
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