Customized Plate Order Form

Customer Name:

Order Date:



Plate Sex:

Plate First Name:

Plate Middle Name:

Plate Last Name:

Plate Date of Birth:

Plate Writing Color:
(Options are: Pale Blue, Pale Pink, Pale Green, Dark Green, Dark Blue, Red,
Bright Orange, Bright Yellow, White, Black)

Special Instructions:

Please allow 4-5 weeks for delivery

These are customized pieces, slight variations are part of the charm.
Please keep in mind that each piece is made with oodles of Love and Care.

Any questions, please call Melissa at (404) 261-8936.