This order form is for you to describe what you would like on your custom bracelet.
You do not pay at this time. You will receive an email with your total and you may then pay via credit card
using Paypal or send a personal check or money order. Orders are filled within 10 business days of
payment being received. Be sure to include your contact information!
***If you have a coupon or hostess code, please enter code below.
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Customer Information
Please do not include any credit card numbers or other
sensitive data in this order form!
Your order will not be processed without
your contact information!
Sizing info: measure wrist and add 1 inch!
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Worried about
size? Each
bracelet comes
with a one-time
FREE RESIZING
included!
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**PLEASE NOTE:
ALL OHIO RESIDENTS
WILL BE CHARGE
STATE SALES TAX.
ENTER COUPON CODE OR HOSTESS
NAME HERE IF AVAILABLE
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BELOW PLEASE LIST DETAILS FOR BRACELET - names/words in order (left to right)
and any birthstones or colors you would prefer. List any ideas you may have.
DO NOT LIST ANY CREDIT CARD NUMBERS OR SENSITIVE DATA
Designs by Michelle Custom Bracelets
michelle@custommadebracelets.com
(937) 869-6389
If order was sent and you have not received confirmation within 24 hrs,
Email tech support at mmzch1@embarqmail.com
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Prices:
Mother's Bracelets:
(prices are per strand including Swarovski Crystals birthstones if chosen)
Single with one name or word = $45
Double with two names or words = $80
Triple with 3 names or words = $118
**$5 for each additional name/word per strand
*** 15 letter max per strand
Other Custom bracelet prices: If you are looking for something but can not find it,
please fill out this form or use the Contact Us page to send your ideas & request a
price. Watches start at $45.99. See Watches page for more info.
Charms/ heart beads/safety chains are available starting as low as $4 each!
*Shipping First Class in US is $3.50 for 1st bracelet, $1.00 for each addl ordered.
**Priority Mail is $5.50, Express $15.50. Optional Insurance is an additional $2 per
bracelet. (First Class Mail w/ delivery confirmation is used unless upgrade is requested and paid for)
Order Form
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NAME
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EMAIL ADDRESS (required)
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STREET ADDRESS
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CITY, STATE, ZIPCODE
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PHONE NUMBER
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Please fill out information on bracelet.
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Select one bracelet type
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Select Size (average woman 7.5)
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Please choice one:
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Select Clasp
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Toggle- circle with T bar
Lobster - claw shape clasp
Fancy S- S shaped- see top
Right bracelet on idea page
for clasp
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If you would like to order more than one bracelet, please complete an additional order form or
describe second bracelet in detail box.. You will be contacted via email or phone with
confirmation of bracelet order and price within 24 hours. You may then pay by credit card via
Paypal or send check/money order to Designs by Michelle. Your order will be pending until
payment is received. Orders will be cancelled if payment is not received within 7 business
days of order confirmation.
Safety chains are available for $4. Please list in detail section if you would like to add one to
your order. (Photo of safety chain on bottom of watch page)
Last minute "Print Now" Gift Certificates- Click Here
Orders will ship with delivery confirmation within 10 business days of payment being
received. (expect longer delays closer to holidays) Insurance is additional. Orders paid with
personal checks will not ship until check has cleared. If a check bounces, there is a $20
check return fee. Each bracelet comes with a one time FREE RESIZING (must be resized
within 4 months of order) and a 30 day Satisfaction Guarantee. Items must be returned
within 30 days of ship date for refund or exchange.
Please call (937) 869-6389 for additional information or for Rapid Order processing and
shipping cost. (additional cost will apply)
Make sure your name and email/phone number is listed above so you may be
contacted!
*Please print this form before submitting for your records!
Thank you!
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Included for FREE
Each item ordered is
packaged in a
silver 3x3 box-
perfect for gift giving!
Each order comes with a
Gift box, free resizing and
satisfaction guarantee!
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