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Custom Bangle Order Form 

After placing your order, please complete this form so we can begin creating your custom bracelet stack or watch band.
Orders will not begin processing until this form is received.
If you selected Luxury Charms, you’ll be invoiced an additional $10 — payment must be made before production begins.
For questions, contact: info@upscaleslay.com

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Name  *
Order Number *
Email  *
Select Bangle Color From The Drop Down Menu *
Select Charm Trim Color Preference 
From The Drop Down Menu
 *
Do You Want a Speciality Theme? Select From Choice Below 
A $10 Invoice Will Be Emailed to You to Submit Payment
 *
Agreement & Final Confirmation
*I confirm that my details are correct, and I understand all sales are final. 

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Required
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