Custom Orders Are Always Welcome!

Custom Order Form

Let's get together to create the perfect gift for someone special!

Choose from:

Anniversary Heart ~ Bar/Bat Mitzvah Glass Certificate ~ Bouquet* ~ Glass Certificate of Achievement

website-home-page-top-scroll-1-178x300_e

Client Information Section

Your First & Last Name

Street Address

City

Region/State/Province

Postal / Zip code

Country

Phone

Order Details

Choose From *

9" Anniversary Heart, base price $145

8" Square Glass Certificate, $125

10" Square Glass Certificate, $165

12" Round Glass Certificate, $200

9" Bouquet Heart, base price $225

10" Square Bouquet, $225

12" Round Bouquet, $275

I would like a different size or shape. Please contact me with choices and prices.

Family Name

First Name(s)

Celebration Date (Include Year)

Language Choices

Name(s) Hebrew & English

Name(s) English Only

Name(s) Hebrew Only

Date in Hebrew & English

Date English Only

Date Hebrew Only

Another Language (must provide text)

Add Phrase (Check all that apply ~ Multiple choices may incur an additional fee)

"Ani L'Dodi v'Dodi Li AND I am my Beloved and my Beloved is Mine" in Hebrew & English

"Ani L'Dodi v'Dodi Li" in Hebrew Only

"I am my Beloved and my Beloved is Mine" in English Only

"Ani L'Dodi v'Dodi Li & I am my Beloved and my Beloved is Mine" in English and transliterated from Hebrew

Mazal Tov! in Hebrew & transliterated Hebrew

Mazal Tov! in Hebrew Only

Mazal Tov! in transliterated Hebrew Only

Other Language (must provide text)

No, thank you ~ I just want name(s) and date

I would prefer a replacement phrase. Please contact me.

Please note: Creating a custom piece will require additional information. Filling out this form begins our collaborative process.
We will discuss colors and other design elements together, including the flowers you would like included if you are ordering the bouquet plate.

Thanks so much for your order!

This will be a 100% custom item and I am looking forward to creating the perfect piece for you.

No payment is necessary at this time, however a deposit will be required to begin work once we have gone over all the details together. I will get back to you shortly to review and get started.