Order Form

Name:
Email Address:
Contact number
Address for postage
Category	Choose one Silver customized name necklace!!! COUPLE necklace!!! Silver customized name bracelet!!! GEO LENS PREORDER!
Quantity of Item:
Name for the necklace(if applicable)
Necklace design (If applicable):	Choose one N/A one two three four five six seven eight nine 1 2 3 4 5 6 7 8 9 B1 B2 B3 B4 B5 B6 B7 B8 B9 B10 B11
Necklace font (If applicable):	Choose one 1 2 3 4 5 6 7 8 9 10 11 12 13
Total cost:
Payment mode	Bank transfer
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