Rockin' Circle C Custom Rhythm Bead Order Request

Custom Order Request

Please fill out the following form to get started on your custom order. This information is preliminary only and you will be sent a separate PayPal Invoice when your order is confirmed.

Name: *

E-mail Address: *

Address:

City:

State:

Zip:

Phone:

Cord Color: *

Bead Color Choice(s):

Select as many colors as you like, but it is recommended that you choose no more than 3 colors.

Solid Black	Tan	Brown	Black Diamond	Night Glow	Light Yellow
Dark Yellow	Ruby	Garnet	Champagne	Topaz	Dark Topaz
Root Beer	Light Aqua	Dark Aqua	Light Sapphire	Sapphire	Cobalt
Mist Green	Light Lime Green	Light Green	Olive Green	Christmas Green	Dark Emerald Green
Pink	Dark Pink	Mauve Pink	Light Amethyst	Amethyst	Pearl White
Pearl Ivory	Pearl Teal	Glitter Fuschia	Glitter Red	Glitter Orange	Glitter Green
Glitter Teal	Glitter Blue	Glitter Purple	Glitter Charcoal	Glitter Rainbow Medium Gray	Glitter Silver
Glitter Gold
The following colors have additional cost as they are not priced the same as the above colors.
	Silver	Nickel	Gold	Copper

Choose Accent Bead finish: *

Silver

Gold/Brass

Copper

Special Requests

* Required