Pandora Free Bracelet Event Order Request
Our Polka Dotz Team is excited and eager to help you build your new Pandora bracelet. Please fill out the form below with your order request. Once we have received your request our team will work diligently to fulfill your order. Due to the high requests at this time please keep in mind that we may not have all styles available at this time, should this be the case one of our team members will contact you to discuss other options. Thank you for shopping small and supporting our local stores!

View the Pandora Catalog: https://tinyurl.com/y6k8a6mw
Sign in to Google to save your progress. Learn more
First & Last Name *
Email *
Phone number *
Preferred Contact Method *
Required
How would you like receive your order? *
If picking up in-store or curbside pick-up, which is your preferred store?
What items would you like to order? Please include style, quantity and size (when applicable). *
Which Free bracelet would you like? Please include style and size. *Keep in mind the Free bracelet is up to $65 value. If you would like to upgrade you are able to upgrade by paying the difference. *
Is there any additional information you would like to share with us?
Thank You
Thank you for taking the time to fill out the form. We will reach out to you as soon as we can!
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy