Customer Order Form Today's Date* Date Format: MM slash DD slash YYYY Date of Baptism or Celebration* Date Format: MM slash DD slash YYYY Customer Name* First Last Best Way To Contact You*Shipping Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country DetailingThe rest of this form is a general outline that is needed for Dianthi to begin to design her products for you. It is not intended to be your final order form. Please fill out the fields to the best of your ability and Dianthi will then contact you and refine your choices. Name of Person being Baptized First Last Patron Saint/NamedayAgeGenderWhich Bundle Style are you interested in?Basic BundleKeepsake BundleAdult/Youth BundleIf Basic is chosen, please note that no styling is included.Keepsake Bundle StylingGoldSilverMonogramRibbonLaceNoneThe Keepsake box comes with a decorative cross on the front which can be coordinated with the color of cross necklace that will be used. Additional styling can be added and will be designed with your input.Style CategoryClean Elegant (silk, linen, satin, velvet)Bling ElegantNatural (organic, earthy, warm)Chabby Chic (crisp white, burlap, lace, florals)Bohemian (colorful, quirky, artistic)Coastal (light, airy, fresh, pastels, comfortable)Contemporary (neutrals, unassuming, minimalist, clean lines)OtherWhat theme or style do you gravitate toward?Other Detailing/ColorAre there other details and colors that you would like to incorporate into the styling theme?Child UndergarmentS(0-3m)M(3-6m)L(6-12m)XL(12-18m)2T3TThis is a no-sleeve 100% cotton onesie with snaps. Please indicate size the child will need at time of baptism.Communion BibCrossNo CrossThis is a two layer, fine linen bib with velcro tab closure.Cloth DiaperCloth Insert for disposablesAll-in-One - S(6-18 lbs)All-in-One - L(15-35 lbs)Natural cotton and/or bamboo.CandlesWhite ParaffinPure BeeswaxCandle StylePlease indicate;Witness Candles - Quantity(2 included with matching detail)Witness ItemsWitness Items - StyleWitness Items - QuantityFavorsFavors - StyleFavors - QuantityUntitledFirst ChoiceSecond ChoiceThird ChoiceNameThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.
