Name * First Name Last Name Email or Instagram Handle * Phone * (###) ### #### Address * Worldwide shipping & Los Angeles pick-ups are available Address 1 Address 2 City State/Province Zip/Postal Code Country Jewelry * Headpieces Outfit (Top/Skirt/Dress) Hand chains Waist chains Headphone chains Earrings Necklaces Bracelets Anklets Other (please specify in the notes) Material * Gold-Filled Sterling Silver Solid Gold Other (please specify in the notes) Beads * Healing Stones (please specify in the notes) Crystals (Swarovski or Glass) Pearls Surprise me! Other (please specify in the notes) Message * A detailed description of your vision Including design, colors, healing benefits, & inspirations. Design sketches are encouraged! Creating Experience Would you want to join me during the creative process? Yes Not possible Much love and thank you for submitting your Custom Jewelry Form. I am so excited to create one-of-a-kind pieces just for you!