Form

Custom Order Form

First Name*

Last Name*

Company

Address*

City*

State*

Postal Code*

Country*

Email*

Day Phone*

Evening Phone

Who wore these boots

What was their personality, type of work, hobbies

Who will wear this purse/what is your relation to the person that wore these boots?

What is the personality/hobbies etc... of the person that will wear this purse?

Do you want Fringe added to the bottom of purse?
Add Price

Add crystals?

		Added to front Crystals will be riveted to the front of the purse	$25.00
		Add to front and back Crystals will be riveted to the front and back of purse	$35.00

Note: All prices in US Dollars

1. Name