DINNERWEAR JEWELRY CUSTOM ORDER FORM

SHIP THIS FORM AND YOUR CHINA TO:
Mary-Ann Wood
DinnerWear Jewelry 1237 Pond Street Franklin, MA 02038

Questions? Call 508-641-9078

Your Name:___________________________________
Address: _____________________________________
City, State, Zip:________________________________
Best Phone: __________________________________ Best Time To Call_____AM / PM

E-mail address_________________________________
Is your billing address the same? If not, please provide it here:
Billing Address: ________________________________
City, State, Zip: ________________________________
What style jewelry would you like made from your china?
___Bracelet charm sterling silver  (starting at $48 each)
___Lariat slide on 30” silver tone chain (starting at $48 each) 

___ Lariat slide on 30" gold tone chain (starting at $48 each)

___Free form pendant sterling silver bails (starting at $48 each)

___Heart pendant sterling silver small (starting at $58 each)

___Heart pendant large (staring at 89.00)

___Round pendant sterling silver (starting at $78 each)
___Round pendant crystal drop / pearl drop (starting at $85.00)

___Tie clips/ (starting at $48.00)
___Earrings sterling silver dangle (starting at 95.00)
___Earrings sterling silver dangle pearl or crystal drop starting at $95.00)

___Round cufflinks sterling silver (starting at $125.00)

___Charm bracelet sterling silver (1 charm)  (starting at $85.00)
How many pieces (dishes/cups, etc) are you sending with this order? ____
Please describe them (Wedgwood plate, Limoges cup, etc.) ______________________________________________________________

Special Requests/Comments: _________________________________________________________________
Payments by check, Visa, MC, Discover, Amex, Paypal or your Etsy account.

I will make my best effort to create beautiful jewelry for you. in the event of unexpected breakage, loss or any other damage, our liability is limited to the replacement value of the pieces you have entrusted to us.
Please sign here to show that you have read these terms and agree to them.

___________________________________________________________date_____
INSTRUCTIONS:
1/ Fill out the form.
2/ Use tape or china marker to indicate  parts of your china you’d like to have us cut out. Draw circles or tape areas showing what you want (or else you can ask us to suggest areas). Pack china in a sturdy box, using plenty of padding. Include this form in box with your china.
I’ll contact you when the box arrives to go over your order with you.
That’s it! Thanks!
Look forward to talking with you and seeing what you have!!!

Mary-Ann