Your Order

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Choose Your Charms *

Please choose your chosen charms from the list below. If you would like two of the same, please mention it in the notes at the end of this form.

Hamsa

Evil Eye

Pink Rainbow

Green Marble

Onyx

Sea Shell with Pearl

Twist

Blue Star

Terrazzo

Flifla

Berrad

Tagine

Summer Set

Tapas

Olive & Chili

Breakfast Set

Frenchie

Fruit Salad

Seafood

Protection set

Gift *

Is this order a gift to someone else? If so, please write down their name in the notes field.

Yes

No