Kippah Order Form Please provide the information below.   This is a custom order so please allow 7-10 days for completion.  If you need the kippah sooner, let me know and I'll do my very best to expedite your order.  If the order is received on Shabbat, I will contact you when Shabbat ends. I am located in North Carolina, so if you are in the Midwest or West, please allow for the time difference! I will e-mail you when I receive the order and confirm the wire and bead color choices before I begin.  Payment must be completed before the kippah will be made.    I do not sell wholesale or on consignment. If you wish to mail payment, click here for a printable order form. Fields denoted with * are required Information * First Name * Last Name * Address * City * State * Country * Zip Code * Phone * E-mail     Be sure to scroll down and make all your selections!  If you are ordering more than one kippah, please fill out separate order forms, but you can pay all together!   Date needed by:    Kippah Style Regular Adult $75 Wedding Kippah $75 Double Twist - $150 Center of Kippah Plain - All Same Beads Large Coordinating Bead Sterling Magen David - $15 Gold Plated Magen David - $10 14K GF Magen David - $25 Cluster of Same Beads Other - Please specify below Wire color Clear Silver Twist Silver & Gold Bright Gold Antique Gold Bright Copper Rim Regular Rim Beaded Rim - $25 additional Fastener Clear Comb French Clip (Silver) French Clip (Gold Metallic Top) Hair Color (optional) No Choice Blonde Light Brown Dark Brown Auburn Red Silver Grey White Beads Please choose color family and I will select from my inventory.  Hold down CTRL key to select more than one color. 4mm Swarovski Crystal 4mm Swarovski Pearls Multi-Color Round Multi-Color Faceted Mixed Pastels Mixed Jewel Tones Black White Bright Red Garnet Red Rose Pink Light Pink Smoke Grey Yellow Orange Amber Sapphire Blue Light Blue Emerald Green Light Green Deep Purple Light Purple Gold 4mm Swarovski Bi-cone Crystal or 4mm Swarovski Pearls - $15 Please select Swarovski crystal or pearls colors from chart and specify in box below.  Colors subject to availability.   Bead Color - It's impossible to list every bead color (I have many other colors & shapes), so if you want something and don't see it on this page, please let me know.  If I don't have it, I can usually get it! Comments/Special Instructions:  If you have a pin or other jewel you would like incorporated into center of kippah, you can send it to me and I will do my best to fulfill your request.  If it does not have a pin back or holes for wire to pass through, then it will have to be drilled or glued, depending on the piece. List Swarovski Crystal or Pearl Colors Here: Crystal is included in the double-twist kippah     Complete this section ONLY if you are ordering a wedding veil: Check wedding veil options here   Color Select White Off White Ivory Edge Select Plain Cut Pencil Rolled Scalloped Satin Cord Pearl 1/8 inch Ribbon 1/4 inch Ribbon 1/2 inch Ribbon 1 inch ribbon Organza Ribbon Gold/Silver Metallic Rhinestone Filigree Length Select Shoulder Elbow Fingertip Semi-Waltz Waltz Chapel Cathedral # of Tiers Select One Two Width Select 72 inches 108 inches Optional Select Scattered Pearls Scattered Crystals Additional comments or Instructions: How did you learn about Kippah Design?   Google Maven About.com Yahoo Webring Other Search Referral Choose Payment Method: Check/Money Order Payable to Janet Gorelick Mail To:  PO Box 49426, Charlotte, NC 28277 Please be sure to include a printed order form when mailing payment.   I also accept credit card payments through Paypal.  However, since their fees have continually risen, there will be a 4% fee added.  If you choose to use that service, please email me and I will be happy to send a Paypal invoice.  A separate order form is required for each item. Please contact me by: Email Phone   Please click ONLY ONCE or I will get multiple orders! Submission takes just a minute or so ... please wait for confirmation. All packages are sent priority mail with delivery confirmation and insurance.