Name *

First Name

Last Name

Address *

Where you'd like to receive your kit(s).

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

Best one to use to contact you.

(###)

###

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What Kit(s) would you like to order? *

Kit 1 - Dark Gold - $90.00 plus CZs

Kit 2 - Platinum w/gold - $120.00 plus Czs

Kit 3 - Gold w/platinum - $120.00 plus Czs

None

Would you like to order 18x13mm pear CZ(s)? *

NOTE: You will need 1 per necklace.

Yes

No

Would you like to order 10x14mm oval CZ(s)? *

NOTE: You will need 2 per necklace.

Yes

No

Would you like to order any other supplies? *

Yes

No