Name *

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Product Selection *

Cuff

Necklace

Keychain

Clutch

Ring

Other (Describe in Notes)

Design Preferences *

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BLOCK LETTERS (all caps)

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lower case

DESIGNER'S CHOICE

I will email my CUSTOM DESIGN to: info@halo-heart.com

Please send PROOF for approval *

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Ship to Address Below

Local Pickup (Cleveland, OH)

Local Pickup (Los Angeles, CA)

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