CUSTOM DESIGN REQUEST

Please fill out as accurately as possible and I'll be happy to give you a description of what I would recommend and an estimate of cost. You will be under no obligation -- Peggy Sealfon

Type of jewelry

Bracelet
Necklace
Earrings

Design is for

Man
Woman
Child

What is the purpose: Arthritis? Attract Love? Grief? Stress? Attract Properity? Is it for healing? For a specific ailment? Etc. Please be specific and include more than one use if you want.

Are there particular colors or gemstones you would like?

Please size for:

Small womanAverage womanLarge woman

Small manMedium manLarge man

My budget range is under:*

Email Address

Phone number with area code

Photograph of yourself or the person who the gift is for. (Since I am a certified Reiki Therapist, I can often design custom pieces with more powerful results if I can work with a photograph.)