$75.00 BASE PRICED CUSTOM MADE KIPPAH ORDER FORM

Fill out the following form and please do not skip any fields. Thank you!

YOUR NAME:

YOUR EMAIL ADDRESS:

YOUR SHIPPING ADDRESS:

WIRE COLOR (choose one) : Non-tarnish silver Gold-plated Copper  

CENTER OR FOCAL BEAD (choose one from the focal bead page click here, once you choose your focal bead, please list the number of the bead and name of the bead which will be next to the number, by typing the information in this field:

CENTER OR FOCAL BEAD:

OR

If you have a small piece of jewelry you are going to use, please indicate what you will be sending me by typing in this field:

SMALL BEADS: Please refer to the chart in Step # 2 on the $75 Base Priced Customized Kippah Page to decide which beads you will be requesting. Click here to view that chart and the links to the various choices in a separate window, and scroll down to Step #2 to make your choice(s). You will then list your choice(s) below by using the appropriate field below.

Czech Fire Polished [no charge for 1-2 colors, please list your color(s):

Czech Fire Polished:

Swarovski Crystal Bicones & Pearls--Add $15 for one color of either crystal or pearl, or $25 for two colors of either crystal or pearl. Please list your choice(s) by name plus the purchase price in the appropriate field, type N/A where there is no purchase.

Swarovski Bicone Crystals:

Swarovski Pearls:

Semi-Precious Rounds- Add $15 for the choice of one color semi-precious rounds. Please list your choice(s) by name plus the purchase price in the appropriate field, type N/A where there is no purchase.

Semi-Precious Rounds:

Semi-Precious Chips for a more organic look- Add $8 for the choice of one color semi-precious chips. Please list your choice(s) by name plus the purchase price in the appropriate field, type N/A where there is no purchase.

Semi-Precious Chips:

Recycled Glass from Africa and Indonesia-- Add $10 for the choice of one color. Please list your choice(s) by name plus the purchase price in the appropriate field, type N/A where there is no purchase.

Bead Color: There are many different small bead colors available. These also include some with the Aurora Borealis finish; a beautiful reflective finish. Please indicate in the text box below if you would like a color with the AB finish. I do not keep all of the beads in stock. When you email me with your choice(s), I will inform you if I need to order the color(s) and give you a time frame of when the kippah will be completed. This is usually between 2 to 4 weeks. Colors subject to availability.

Do You Want a Color with the AB finish, please explain if you do:

All kippot include a clear comb attached, or a barrette if you specially request one.

Attachment (choose one) : Clear Comb Attachment Barrette Attachment  

PAYMENT OPTION (see "Payment Option Explanation" below):

Payment Option(choose one) : Paypal Credit Card via Paypal Money Order  

DATE NEEDED BY:

COMMENTS/REQUESTS:

Complete satisfaction guaranteed.

PLEASE USE THE FOLLOWING AREA TO CALCULATE YOUR PURCHASE PRICE BASED ON YOUR OPTION CHOICES. TYPE IN THE TOTAL OF EACH CHOICE OPTION AND THEN USE THE CALCULATOR LINK TO ADD FOR A TOTAL.

PAYMENT OPTIONS

Money Order: If you are paying by money order, please email me for the address and I will give you the total amount with S/H and Tax.
click here to email me

Paypal & Credit Cards: I ACCEPT CREDIT CARD PURCHASES & PAYPAL VIA PAYPAL. YOU DO NOT HAVE TO HAVE A PAYPAL ACCOUNT TO USE THIS OPTION. USE THE "BUY NOW BUTTON" LOCATED BELOW IF YOU WANT TO USE ANY OF THESE OPTIONS.

NOTE: You will have a receipt of payment to print out located on the paypal site.

SHIPPING AND HANDLING: I ship via USPS Priority Mail only, and the S/H price includes shipping insurance and delivery confirmation. If you have a special request for shipping, you must email me first for a quote.

TAX: All Items require a PA State Tax of 6% on Purchase Total.

NOTE: If you are having items shipped to Alaska, Hawaii, Puerto Rico or internationally, you must email me first for S/H costs.