Custom Order Form
Thank you for choosing The Broken Plate Pendant Co. to break your plate! Whether I am
working on jewelry for your wedding, gifts for family members, or just because, I will do
my best to make sure you are happy with your order. I can be reached anytime by email
and will keep you up to date with progress and photos of your job. Please take a moment
to fill out this form to give me a better idea of what you are looking for. I look forward to
breaking your plate!
Please fill out this form and ship with plate(s). If you are not providing the plate, email
this form to Juliet@ibreakplates.com with plate specifications.
Name:_________________________________ Date:_____________
Phone:___________________ Alt. Phone________________________
Email:____________________________________________________
Shipping Address:___________________________________________
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To give me a better idea of the scope of work, please answer the following questions.
Are you providing the plate? Y/N
Do you need the leftover scraps back? Y/N
Is there a certain part of the plate that you would like used? Y/N
If yes, please describe it or mark with a Sharpie marker and I will do my best to save it.
*Please understand that I am at the mercy of the plate and can not judge exactly how the
plate will break.
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If you are not providing the plate, please give me a better idea about colors, patterns, and
looks you prefer. If these are for a wedding, let me know what color schemes or themes
you are using for your wedding. I will send photos of plate options from my stock to the
email address you provided above. It may be helpful to visit my flickr gallery to see
photos of past work. http://www.flickr.com/photos/thebrokenplate/
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What types of pieces would you like made? (Please note that there are certain limitations
depending on the plate size, style, and material. I will contact you with any of these
issues prior to getting started.)
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Because all products are handmade and require the collection of unique materials, please
allow 2-4 weeks for delivery. I may be able to expedite your order if necessary, so please
let me know if there is a rush.
What date do you need your jewelry complete? _________________________________
How did you find me?______________________________________________________
Because each plate is recycled there may be slight scratches and marks on the surface
from regular plate use. Each plate piece is ground by hand, thus leaving some irregular
lines.
Samples of past work can be found at iBreakPlates.com.
Shipping your plate*:
Make sure to wrap the plate you are sending me tightly, if the post office hears pieces
rattling, they will assume it is broken and send it right back to you.
My shipping address is
The Broken Plate
6302 Weidner Ave
Baltimore MD 21212
*The Broken Plate cannot be held responsible for items lost in transit.
Payment
Once your order is complete, I will post photos and a listing on Etsy, where you can
chose to pay by credit card or check. If you would like to make other arrangements,
please let me know.
Thanks for letting me break your plate!