Custom Crystal and Stone Bracelet Questionnaire

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One questionnaire per bracelet order.
Pick from a single bracelet option or a coordinating 3 set stacker.
Please fill out the questionnaire below once purchased so we can make it for you.

Option 1

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Name (used in your order) *

Bracelets ordered *

Single

Stack of 3

Wrist Size *

6" to 6.5"

6.5" to 7"

7" to 7.5"

Any specific colors you want used for sure? *

Any colors you don't like? *

Intentions you are working on or want in the bracelet. *

Birthday (Month and day) *

3 things you would like to manifest *

Health areas you are working on *

Favorite metal *

Gold

Silver

Rose Gold

Submit

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