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Coaster Order Request
Let's make magic! After you fill out this order request, we will contact you to go over details, availability and pricing.
Contact@elementsbydw.com
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* Indicates required question
Number of Guests
*
Your answer
Day of Event
*
MM
/
DD
/
YYYY
Number of Coasters per Guest
*
Set of 4
One per Guest
What is your desired coaster shape?
*
Abstract Circle
Circle
Square
Hexagon
Circle w/ Ridges
Geode
Assortment (Please describe your vision in the space provided at the bottom of the form)
Other:
Customization (Initials, Last Name, Letter, Date)
Your answer
Please provide desired base color(s) - (i.e. blue, transparent, color tint, glitter, gold/silver flakes, stones)
*
Your answer
Coaster Trim Color
*
Gold
Silver
Rose Gold
Natural (No Trim)
Your name
*
Your answer
Email Address - For Contact and Invoice
*
Your answer
Phone number
*
Your answer
Preferred contact method
*
Phone Call
Text
Email
Required
Shipping Address (to provide shipping cost)
*
Your answer
Optional: Describe your vision including as many details as possible!
Your answer
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