This order form is will be used to process and design your "CUSTOM" glassware order. For WEDDING ORDERS, please use the WEDDING ORDER FORM (not this form). Yes, you can include PICTURES in addition to your custom details. Please attach them in an E-MAIL (JPEGS or in a Microsoft Word Document) to fizzyartist@gmail.com after your order has been processed.

*Required Field

Full Name	*
Etsy User Name
E-Mail Address	*
(WILL USE ADDRESS ON INVOICE IF LEFT BLANK)
Please Deliver To	*
(PLEASE DO NOT SUBMIT FORM BEFORE PAYMENT IS MADE)
Date of Purchase/Payment	*
HOW DID YOU FIND THE FIZZYARTIST GLASSWARE?
Please select		Etsy Search Internet Search (i.e. Google, Yahoo) Wedding Blog (i.e. Emmalinebride, WeddingBees) Friend or Referral I received a glass as a gift
WHO WAS YOUR FIZZY REFERRAL?
Name of Friend or Website/Blog
(PLEASE REFER TO MY ETSY WELCOME PAGE www.fizzyartist.etsy.com FOR BOOKING SCHEDULE)
NEED GLASSES BY	*
(PLEASE NOTE: YOU CAN EXPECT YOUR ORDER TO ARRIVE BY THE DATE SELECTED ABOVE)
LISTING TITLE (Name of the Order you PURCHASED)		ABOUT ME ABOUT ME - PETS BIRTHDAY SPORTS FAN CHEERLEADER COLLEGE DAYS HOLIDAYS HOPS FAMILY TREAT JAR MRS. LIPS MR. MUSTACHE MR. n MRS. - MUSTACHE n LIPS IT'S MY BIRTHDAY CUTEST COUPLE MARTINI GIRLS OTHER
Total # of Glassware	*
TYPES OF GLASSWARE (Check All That Apply)	*	WHITE WINE RED WINE LOW BALL (SHORT) BEER PILSNER (STIEN) BEER PINT BEER MUG (HANDLE) MARTINI CHAMPAGNE WATER PINT WATER GOBLET COFFEE MUG TREAT JAR
(PLEASE NO WEBSITE LINKS, SIMPLY SAVE IMAGE AND E-MAIL THEM TO ME)
Additional Custom Details
(FORMAT) 1. Name - Description (optional if you send pictures) - 2 favorite colors to use - Glass Type
(SAMPLE) 1. Bethany - long, dark brown, wavy hair with bangs - light blue and green - wine glass
Please List by Number	*
Would you like to include PICTURES:	*	Yes, I will be sending pictures to fizzyartist@gmail.com No, I would like to use my descriptions
PRINT A COPY FOR YOUR RECORDS! This way you will remember when you requested to have your glasses and what information was submitted.