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Initial Reaction 303 Linwood Ave Fairfield, CT 06824
Phone (203)255-1200 Fax (203)255-1255 [email protected]
Store Name: ________________________________________________ Phone Number: _______________________________
Store Address: ___________________________________________________________________________________________
Drop Ship To: ____________________________________________________________________________________________
________________________________________________________________________________________________________
Store Credit Card Number: _______________________________________________ Order Date:_____________
ACRYLIC - Cut Out Monogram Pendant
□ 1 ¼ ” Cut Out Pendant □ 1 ½” Cut Out Monogram or Single Initial □ 2” Cut Out Pendant □ 2” Cut Out Key Chain
□Nameplate □Micro Lowercase Single Initial □State □Generic Key Chain □12” Monogram □Sideways Cross
□Love/Unity/Lotus/Celtic (circle) Acrylic Necklaces □Love/Unity/Lotus/Celtic (circle) Acrylic Earrings □ 14” Single Initial (Curlz font only)
ACRYLIC -Ornaments
□Monogram □Snowflake Single Initial (script only)□Single Initial w/Border (script only)□Family Name (script only)□First Name (script only) ACRYLIC -Font
□ Script □ Block
ACRYLIC -Color
□ Red □ Royal Blue □ Black □ Navy Blue □ White □ Orange □ Purple □ Hunter □ Turquoise □ Pearl □ Pewter □ Ivory □ Shell □ Brown
□ Tortoise □ Charcoal □ Pink Swirl □ Lime Swirl □ Light Pink □ Fuchsia □ Gun Metal
□ Ocean □ Yellow □ Grey □ Gold Swirl □ Silver Swirl □ Clear Sparkle
□ Red Sparkle □ Green Sparkle □ Clear
ACRYLIC -Chain Style
□ Sterling Silver □Gold Vermeil □Rose Gold Vermeil □16” – 18” Adjustable Pendant Chain □16” – 18” Adjustable Split Chain
ACRYLIC -Monogram or Single Initial
□ □ □ First Name Last Name Middle Name
ACRYLIC -Nameplate or State
□□□□□□□□□□ Name must be 10 letters or less
Initial Reaction 303 Linwood Ave Fairfield, CT 06824
Phone (203)255-1200 Fax (203)255-1255 [email protected]
Store Name: _____________________________________________ Phone Number: _____________________________
Store Address _______________________________________________________________________________________
Drop Ship To: ________________________________________________________________________________________
___________________________________________________________________________________________________
Store Credit Card Number: _______________________________________________ Order Date:_____________
BEZEL COLLECTION PENDANT/RING
□ Gold Bezel Round Pendant □Gold Bezel Square Pendant □Gold Bezel Oval Pendant
□ Silver Bezel Round Pendant □Silver Bezel Square Pendant □Silver Bezel Oval Pendant
□ Gold Bezel Round Ring □ Gold Bezel Square Ring □ Gold Bezel Oval Ring
□ Silver Bezel Round Ring □ Silver Bezel Square Ring □ Silver Bezel Oval Ring FONT
□ Script □ Block
ACRYLIC COLOR
□ Red □ Royal Blue □ Black □ Navy Blue □ White □ Orange □ Purple □ Hunter □ Turquoise □ Pearl □ Pewter □ Ivory □ Shell □ Brown
□ Tortoise □ Charcoal □ Pink Swirl □ Lime Swirl □ Light Pink □ Fuchsia □ Gun Metal
□ Ocean □ Yellow □ Grey □ Gold Swirl □ Silver Swirl □ Clear □ Clear Sparkle
ACRYLIC –Color Fill
□ Gold □ Silver □ Green □ Blue □ White □ Hot Pink □ Turquoise □ Black □ Orange MONOGRAM
□ □ □ First Name Last Name Middle Name
(Single Initial)
Initial Reaction 303 Linwood Ave Fairfield, CT 06824
Phone (203)255-1200 Fax (203)255-1255 [email protected]
Store Name:_________________________________ Phone Number:_____________________
Store Address or Drop Ship:_______________________________________________________
______________________________________________________________________________
Store Credit Card Number:_____________________________________ Order Date:_____________
CABANA ACRYLIC - Cut Out Monogram Pendant
□ Cabana Disc Necklace □ Cabana Disc Bracelet □Cabana Nameplate Necklace □ Cabana Nameplate Bracelet
□ Cabana Earrings (POST) □ Cabana Earrings (DANGLE) CABANA ACRYLIC -Font
□ Script □ Block
CABANA ACRYLIC -Color
□ Red □ Royal Blue □ Black □ Navy Blue □ White □ Orange □ Purple □ Hunter □ Turquoise □ Pearl □ Pewter □ Ivory □ Shell □ Brown
□ Tortoise □ Charcoal □ Pink Swirl □ Lime Swirl □ Light Pink □ Fuchsia □ Gun Metal
□ Ocean □ Yellow □ Grey □ Gold Swirl □ Silver Swirl □ Clear □ Clear Sparkle
□ Red Sparkle □ Green Sparkle
CABANA ACRYLIC –Color Fill
□ Gold □ Silver □ Citron □ Blue □ White □ Magenta □ Teal □ Black CABANA ACRYLIC -Chain Style
□ Sterling Silver □Gold Vermeil □Rose Gold Vermeil □ Adjustable Split Chain Necklace or Bracelet
CABANA ACRYLIC -Monogram or Single Initial
□ □ □ First Name Last Name Middle Name
CABANA ACRYLIC -Nameplate
□□□□□□□□□□ Name must be 10 letters or less
Initial Reaction 303 Linwood Ave Fairfield, CT 06824
Phone (203)255-1200 Fax (203)255-1255 [email protected]
Store Name:_________________________________ Phone Number:_____________________
Store Address or Drop Ship:_______________________________________________________
______________________________________________________________________________
Store Credit Card Number:_____________________________________ Order Date:_____________
ENAMEL - Cut Out Monogram Pendant
□ 5/8”Cut Out Pendant □7/8”Cut Out Pendant □ 1 ¼”Cut Out Pendant□ 1 ½” Cut Out Pendant□ 2”Cut Out Pendant
ENAMEL- Hand Engraved Monogram Pendant
□ 7/8” Hand Engraved Pendant (script only) □ 1 ¼” Hand Engraved Pendant (script only)
ENAMEL- Ring
Cut Out Monogram Ring (script only): □ 5/8- Small □ 7/8- Large Size _______ □ Cuff Ring (script only) Size _______
ENAMEL- Other Options
□ Key Cut Out Pendant (script only 7/8”) □ Earrings Dangle □ Earrings Post □ Sideways Single Initial Letter (script only)
□ Single Initial Cut Out Pendant □ Sideways Cross
ENAMEL- Color Options
□Hot Pink □Blue □Green □Black □Orange □Purple □Pale Pink □Turquoise □Cranberry
□Navy □Olive □Cream □Paloma Grey □Sand □Cayenne □Hemlock Green □Placid Blue
Font Options
□ Script □ Block
Chain Styles
□ 16” Pendant Chain □ 18” Pendant Chain □ 16” Split Chain □ 18” Split Chain
Monogram or Single Initial
□ □ □ First Name Last Name Middle Name
Nameplate
□□□□□□□□□□
Initial Reaction 303 Linwood Ave Fairfield, CT 06824
Phone (203)255-1200 Fax (203)255-1255 [email protected]
Store Name:______________________________________________ Phone Number:__________________________________
Store Address ____________________________________________________________________________________________
Drop Ship To:_____________________________________________________________________________________________
______________________________________________________________________________________________
Store Credit Card Number:____________________________________________ Order Date:_____________
ENAMELED – Monogram CUFF BRACELET
□ Cuff Bracelet Small (silver monogram) □ Cuff Bracelet Large (silver monogram)
□ Cuff Bracelet Small (gold monogram) □ Cuff Bracelet Large (gold monogram)
ENAMELED – Monogram DISC
□ Disc/Pendant Small (silver monogram) □ Disc/Pendant Large (silver monogram)
□ Disc/Pendant Small (gold monogram) □ Disc/Pendant Large (gold monogram)
ENAMELED – Monogram BUCKLE
□ Belt Buckle (silver monogram) □ Belt Buckle (gold monogram)
Monogram Font Options
□ Script □ Block
ENAMEL- Color Options
□Hot Pink □Blue □Lime □Black □Orange □Purple □Pale Pink □Turquoise
□Cranberry □Navy □Olive □Cream □Paloma Grey □Sand □Cayenne □Hemlock Green □ Placid Blue
Monogram or Single Initial
□ □ □ First Name Last Name Middle Name
Initial Reaction 303 Linwood Ave Fairfield, CT 06824
Phone (203)255-1200 Fax (203)255-1255 [email protected]
Store Name:_________________________________ Phone Number:_____________________
Store Address or Drop Ship:_______________________________________________________
______________________________________________________________________________
Store Credit Card Number:_____________________________________ Order Date:_____________
Engraved Micro Disc:
□½” Micro Disc Sterling Silver (block only)- Letters & Quantities:______________________________________________________
□½” Micro Disc Gold Vermeil (block only)- Letters & Quantities:______________________________________________________
Sterling Silver Micro Bead Necklace:□14”____ □16”____ □18”____□20”____Gold Vermeil Micro Bead Necklace:□16”____□18”___ □20”____
Swarovski Birthstones Months Silver Plate & Quantities:___________________________________________________________
_______________________________________________________________________________________________________
Swarovski Birthstones Months Gold Plate & Quantities:___________________________________________________________
________________________________________________________________________________________________________
Engraved Necklaces, Bracelets & Rings
□Linwood Necklace (silver only) □Forget me Knot Bracelet (silver only) □Expandable Ring (silver only) □Tara Tag □ Sycamore Split
□ Bangle Bracelet □ Dillon Necklace □ Signet Ring (silver only) □ Mei Necklace (Hand Stamped) □ Jen Necklace (silver only)
□ Chloe Necklace (Lowercase) □ Molly Necklace (Lowercase) □ Charlotte Necklace □ Zoey Necklace (Upper Case)
□ Zoey Earrings (Upper Case) □ Lily Necklace (Block only) □ Bridget Necklace (Block only)
□Sterling Silver □Gold Vermeil
□ Script □ Block
Monogram or Single Initial:
□ □ □ Names or Words:
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
Initial Reaction 303 Linwood Ave Fairfield, CT 06824
Phone (203)255-1200 Fax (203)255-1255 [email protected]
Store Name:____________________________________________________________________________ Phone Number:______________________________________
Store Address or Drop Ship:___________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________
Store Credit Card Number:__________________________________________________________________________________________ Order Date:________________
Charms__________________________________________________________________________________________________________________________
Recycled Sea glass Drops:____________________________________________________________________________________________________________
Pink ______ Clear ______ Green ______ Blue ______
Necklaces:________________________________________________________________________________________________________________________
Sterling Silver Micro Bead Necklace: □14”____ □16”____ □18”____□20”____
Teacher _____ Best Friends_____ Cross______ Star of David_____ Star_____ Flip Flops____ Starfish_____ Whale Tail_____
Peace Love_____ Horseshoe_____ Heart_____ Fleur de Lis_____ Flower_____ Sand Dollar_____ Light House______ Shell_____
Key_____ Music Note____ 4 Leaf Clover______ Pirate Flag____ Anchor_____ 18th Hole_____ Golf Cart_____ Hole in 1_____
Graduation Cap_____ Ball & Mitt_____ Soccer Ball______ Lacrosse_____ Ballet Shoe_____ Tennis Rackets_____ Sail Boat_____ Seahorse_____
Fore_____ Golf Bag______ Golf Clubs______ Adirondack____ Golf Tee______ Crab______ Dolphin_____ Lobster_____
Initial Reaction 303 Linwood Ave Fairfield, CT 06824
Phone (203)255-1200 Fax (203)255-1255 [email protected]
Store Name: ____________________________________________________ Phone Number: ___________________________
Store Address: ___________________________________________________________________________________________
Drop Ship To: ____________________________________________________________________________________________
Store Credit Card Number: ______________________________________________ Order Date:_____________
METAL- Cut Out Monogram Pendant
□5/8”Cut Out Pendant □7/8”Cut Out Pendant □1 ¼”Cut Out Pendant □1 ½” Cut Out Pendant □2” Cut Out Pendant
Hand Engraved Monogram Pendant
□7/8” Hand Engraved Pendant (script only) □1 ¼” Hand Engraved Pendant (script only)
Ring
Cut Out Monogram Ring (script only): □5/8- Small □7/8- Large Size _______ □Cuff Ring (script only): Size _______
Other Options
□Key Cut Out Pendant (script only 7/8”) □Heart Cut Out Pendant (script) □Sideways Single Initial (script only) □Roman Numeral
□Bar Necklace* □State □Earrings Dangle □Earrings Post □Hook Bracelet □Money Clip (block) □Cuff Links(block)
Metal Options
□Sterling Silver □Gold Vermeil □Rose Gold Vermeil □14kt Yellow Gold Font Options
□Script □Block
Chain Styles
□16” Pendant Chain □18” Pendant Chain □16” Split Chain □18” Split Chain
□Pearl □Cubic Zirconia □SP Chunky Bracelet □SP Chunky Necklace
Monogram or Single Initial
□ □ □ First Name Last Name Middle Name
*(For Bar Necklace only First Name Middle Name Last Name)
Nameplate/Roman Numeral Necklace
□□□□□□□□□□ Name must be 10 letters or less
Initial Reaction 303 Linwood Ave Fairfield, CT 06824
Phone (203)255-1200 Fax (203)255-1255 [email protected]
Store Name: ____________________________________________________ Phone Number: ___________________________
Store Address: ___________________________________________________________________________________________
Drop Ship To: ____________________________________________________________________________________________
Store Credit Card Number: ______________________________________________ Order Date:_____________
METAL - Multiple Nameplate Necklace
□ Sterling Silver □ Gold Vermeil □ Rose Gold □ 14kt Yellow ______________________________________________________________________________
□ Script _________________________________________________________________________________
□ Split Chain 16” □ Split Chain 18”
_____________________________________________________________________
Name 1:□□□□□□□□□□ Name 2:□□□□□□□□□□ Name 3:□□□□□□□□□□ Name 4:□□□□□□□□□□ Name 5:□□□□□□□□□□
Note: Name must be 10 letters or less.
_____________________________________________________________________________________________
Initial Reaction 303 Linwood Ave Fairfield, CT 06824
Phone (203)255-1200 Fax (203)255-1255 [email protected]
Store Name: ____________________________________________________ Phone Number: ___________________________
Store Address: ___________________________________________________________________________________________
Drop Ship To: ____________________________________________________________________________________________
Store Credit Card Number: ______________________________________________ Order Date:_____________
METAL - Vertical Nameplate Necklace
□ Sterling Silver □ Gold Vermeil □ Rose Gold □ 14kt Yellow ______________________________________________________________________________
□ Block _________________________________________________________________________________
□ 16” □ 18”
_____________________________________________________________________
Name 1:□□□□□□□□□□ Name 2:□□□□□□□□□□ Name 3:□□□□□□□□□□ Name 4:□□□□□□□□□□ Name 5:□□□□□□□□□□ Name 6:□□□□□□□□□□ Name 7:□□□□□□□□□□ Name 8:□□□□□□□□□□ Name 9:□□□□□□□□□□
Note: Name must be 10 letters or less.
Initial Reaction 303 Linwood Ave Fairfield, CT 06824
Phone (203)255-1200 Fax (203)255-1255 [email protected]
Store Name: ________________________________________________ Phone Number: _______________________________
Store Address: ___________________________________________________________________________________________
Drop Ship To: ____________________________________________________________________________________________
________________________________________________________________________________________________________
Store Credit Card Number: _______________________________________________ Order Date:_____________
GRETA-TOTE
□ White □ Royal Blue □ Tan
MONOGRAM - Font
□ Script □ Block □ Pattern
ACRYLIC BACKGROUND - Color
□ Red □ Royal Blue □ Black □ Navy Blue □ White □ Orange □ Purple □ Hunter □ Turquoise □ Pearl □ Pewter □ Ivory □ Shell □ Brown
□ Tortoise □ Charcoal □ Pink Swirl □ Lime Swirl □ Light Pink □ Fuchsia □ Gun Metal
□ Ocean □ Yellow □ Grey □ Gold Swirl □ Silver Swirl □ Clear Sparkle
□ Clear □ Red Sparkle □ Green Sparkle
Monogram or Pattern – Colorfill
□ Gold □ Silver □ Citron □ Blue □ White □ Magenta □ Teal
□ Navy Blue □ Red □ Blush □ Cream □ Orange □ Black
Pattern -
□ Floral □ Zebra □ Leopard □ Houndstooth □ Chains □ Quatrefoil
ACRYLIC -Monogram or Single Initial
□ □ □ First Name Last Name Middle Name
Initial Reaction 303 Linwood Ave Fairfield, CT 06824
Phone (203)255-1200 Fax (203)255-1255 [email protected]
Store Name: ________________________________________________ Phone Number: _______________________________
Store Address: ___________________________________________________________________________________________
Drop Ship To: ____________________________________________________________________________________________
________________________________________________________________________________________________________
Store Credit Card Number: _______________________________________________ Order Date:_____________
Jackie- Foldover
□ White □ Pink □ Orange □ Camel □ Beige
MONOGRAM - Font
□ Script □ Block □ Pattern
ACRYLIC BACKGROUND - Color
□ Red □ Royal Blue □ Black □ Navy Blue □ White □ Orange □ Purple □ Hunter □ Turquoise □ Pearl □ Pewter □ Ivory □ Shell □ Brown
□ Tortoise □ Charcoal □ Pink Swirl □ Lime Swirl □ Light Pink □ Fuchsia □ Gun Metal
□ Ocean □ Yellow □ Grey □ Gold Swirl □ Silver Swirl □ Clear Sparkle
□ Clear □ Red Sparkle □ Green Sparkle
Monogram or Pattern– Colorfill
□ Gold □ Silver □ Citron □ Blue □ White □ Magenta □ Teal
□ Navy Blue □ Red □ Blush □ Cream □ Orange □ Black
Pattern –
□ Floral □ Zebra □ Leopard □ Houndstooth □ Chains □ Quatrefoil
ACRYLIC -Monogram or Single Initial
□ □ □ First Name Last Name Middle Name
Initial Reaction 303 Linwood Ave Fairfield, CT 06824
Phone (203)255-1200 Fax (203)255-1255 [email protected]
Store Name: ________________________________________________ Phone Number: _______________________________
Store Address: ___________________________________________________________________________________________
Drop Ship To: ____________________________________________________________________________________________
________________________________________________________________________________________________________
Store Credit Card Number: _______________________________________________ Order Date:_____________
SOPHIA-WALLET
□ White □ Royal Blue □ Fuchsia □ Silver Grey
MONOGRAM - Font
□ Script □ Block □ Pattern
ACRYLIC BACKGROUND - Color
□ Red □ Royal Blue □ Black □ Navy Blue □ White □ Orange □ Purple □ Hunter □ Turquoise □ Pearl □ Pewter □ Ivory □ Shell □ Brown
□ Tortoise □ Charcoal □ Pink Swirl □ Lime Swirl □ Light Pink □ Fuchsia □ Gun Metal
□ Ocean □ Yellow □ Grey □ Gold Swirl □ Silver Swirl □ Clear Sparkle
□ Clear □ Red Sparkle □ Green Sparkle
Monogram – Colorfill
□ Gold □ Silver □ Citron □ Blue □ White □ Magenta □ Teal
□ Navy Blue □ Red □ Blush □ Cream □ Orange □ Black
Pattern –
□ Floral □ Zebra □ Leopard □ Houndstooth □ Chains □ Quatrefoil
ACRYLIC -Monogram or Single Initial
□ □ □ First Name Last Name Middle Name
Initial Reaction 303 Linwood Ave Fairfield, CT 06824
Phone (203)255-1200 Fax (203)255-1255 [email protected]
Store Name: ________________________________________________ Phone Number: _______________________________
Store Address: ___________________________________________________________________________________________
Drop Ship To: ____________________________________________________________________________________________
________________________________________________________________________________________________________
Store Credit Card Number: _______________________________________________ Order Date:_____________
AVA- Woven Bag
□ Cream □ Brown □ Black
MONOGRAM - Font
□ Script □ Block □ Pattern
ACRYLIC – Background Color
□Red □Royal Blue □Black □Navy Blue □White □Orange □Purple □Hunter □Turquoise □Pearl □Pewter □Ivory □Shell □Brown
□Tortoise □Charcoal □Pink Swirl □Lime Swirl □Light Pink □Fuchsia □Gun Metal
□Ocean □Yellow □Grey □Gold Swirl □Silver Swirl □Clear □Blonde Tortoise
□Red Sparkle □Clear Sparkle □ Green Sparkle
COLORFILL – Monogram Color or Pattern Colorfill
□Gold □Silver □Citron □Cobalt □White □Magenta □Teal
□Navy Blue □Red □Blush □Ivory □Orange □Black
PATTERN
□Floral □Zebra □Leopard □Houndstooth □Chains □Quatrefoil
ACRYLIC -Monogram or Single Initial
□ □ □ First Name Last Name Middle Name
Initial Reaction 303 Linwood Ave Fairfield, CT 06824
Phone (203)255-1200 Fax (203)255-1255 [email protected]
Store Name: ________________________________________________ Phone Number: _______________________________
Store Address: ___________________________________________________________________________________________
Drop Ship To: ____________________________________________________________________________________________
________________________________________________________________________________________________________
Store Credit Card Number: _______________________________________________ Order Date:_____________
GRACE KELLY-BAG
□ Black □ Green □ Brown □ Silver Grey
MONOGRAM - Font
□ Script □ Block □ Pattern
ACRYLIC – Background Color
□Red □Royal Blue □Black □Navy Blue □White □Orange □Purple □Hunter □Turquoise □Pearl □Pewter □Ivory □Shell □Brown
□Tortoise □Charcoal □Pink Swirl □Lime Swirl □Light Pink □Fuchsia □Gun Metal
□Ocean □Yellow □Grey □Gold Swirl □Silver Swirl □Clear □Blonde Tortoise
□Red Sparkle □Clear Sparkle □ Green Sparkle
COLORFILL – Monogram Color or Pattern Colorfill
□Gold □Silver □Citron □Cobalt □White □Magenta □Teal
□Navy Blue □Red □Blush □Ivory □Orange □Black
PATTERN
□Floral □Zebra □Leopard □Houndstooth □Chains □Quatrefoil
ACRYLIC -Monogram or Single Initial
□ □ □ First Name Last Name Middle Name
Initial Reaction 303 Linwood Ave Fairfield, CT 06824
Phone (203)255-1200 Fax (203)255-1255 [email protected]
Store Name: ________________________________________________ Phone Number: _______________________________
Store Address: ___________________________________________________________________________________________
Drop Ship To: ____________________________________________________________________________________________
________________________________________________________________________________________________________
Store Credit Card Number: _______________________________________________ Order Date:_____________
JULIA- BACKPACK
□ Black □ Camel □ Cream
MONOGRAM - Font
□ Script □ Block □ Pattern
ACRYLIC – Background Color
□Red □Royal Blue □Black □Navy Blue □White □Orange □Purple □Hunter □Turquoise □Pearl □Pewter □Ivory □Shell □Brown
□Tortoise □Charcoal □Pink Swirl □Lime Swirl □Light Pink □Fuchsia □Gun Metal
□Ocean □Yellow □Grey □Gold Swirl □Silver Swirl □Clear □Blonde Tortoise
□Red Sparkle □Clear Sparkle □ Green Sparkle
COLORFILL – Monogram Color or Pattern Colorfill
□Gold □Silver □Citron □Cobalt □White □Magenta □Teal
□Navy Blue □Red □Blush □Ivory □Orange □Black
PATTERN
□Floral □Zebra □Leopard □Houndstooth □Chains □Quatrefoil
ACRYLIC -Monogram or Single Initial
□ □ □ First Name Last Name Middle Name
Initial Reaction 303 Linwood Ave Fairfield, CT 06824
Phone (203)255-1200 Fax (203)255-1255 [email protected]
Store Name: ________________________________________________ Phone Number: _______________________________
Store Address: ___________________________________________________________________________________________
Drop Ship To: ____________________________________________________________________________________________
________________________________________________________________________________________________________
Store Credit Card Number: _______________________________________________ Order Date:_____________
LAUREN- BAG
□ Black □ Brown □ Cream
MONOGRAM - Font
□ Script □ Block □ Pattern
ACRYLIC – Background Color
□Red □Royal Blue □Black □Navy Blue □White □Orange □Purple □Hunter □Turquoise □Pearl □Pewter □Ivory □Shell □Brown
□Tortoise □Charcoal □Pink Swirl □Lime Swirl □Light Pink □Fuchsia □Gun Metal
□Ocean □Yellow □Grey □Gold Swirl □Silver Swirl □Clear □Blonde Tortoise
□Red Sparkle □Clear Sparkle □ Green Sparkle
COLORFILL – Monogram Color or Pattern Colorfill
□Gold □Silver □Citron □Cobalt □White □Magenta □Teal
□Navy Blue □Red □Blush □Ivory □Orange □Black
PATTERN
□Floral □Zebra □Leopard □Houndstooth □Chains □Quatrefoil
ACRYLIC -Monogram or Single Initial
□ □ □ First Name Last Name Middle Name
Initial Reaction 303 Linwood Ave Fairfield, CT 06824
Phone (203)255-1200 Fax (203)255-1255 [email protected]
Store Name: ________________________________________________ Phone Number: _______________________________
Store Address: ___________________________________________________________________________________________
Drop Ship To: ____________________________________________________________________________________________
________________________________________________________________________________________________________
Store Credit Card Number: _______________________________________________ Order Date:_____________
SCARLETT-CROSSOVER
□ Black □ Teal □ Camel □ Pink □ Cream □ Silver Grey
MONOGRAM - Font
□ Script □ Block □ Pattern
ACRYLIC – Background Color
□Red □Royal Blue □Black □Navy Blue □White □Orange □Purple □Hunter □Turquoise □Pearl □Pewter □Ivory □Shell □Brown
□Tortoise □Charcoal □Pink Swirl □Lime Swirl □Light Pink □Fuchsia □Gun Metal
□Ocean □Yellow □Grey □Gold Swirl □Silver Swirl □Clear □Blonde Tortoise
□Red Sparkle □Clear Sparkle □ Green Sparkle
COLORFILL – Monogram Color or Pattern Colorfill
□Gold □Silver □Citron □Cobalt □White □Magenta □Teal
□Navy Blue □Red □Blush □Ivory □Orange □Black
PATTERN
□Floral □Zebra □Leopard □Houndstooth □Chains □Quatrefoil
ACRYLIC -Monogram or Single Initial
□ □ □
First Name Last Name Middle Name
Initial Reaction 303 Linwood Ave Fairfield, CT 06824
Phone (203)255-1200 Fax (203)255-1255 [email protected]
Store Name: ________________________________________________ Phone Number: _______________________________
Store Address: ___________________________________________________________________________________________
Drop Ship To: ____________________________________________________________________________________________
________________________________________________________________________________________________________
Store Credit Card Number: _______________________________________________ Order Date:_____________
VIVIEN- PURSE
□Teal □Navy □Beige □Coral □Camel □Black
MONOGRAM - Font
□ Script □ Block □ Pattern
ACRYLIC – Background Color
□Red □Royal Blue □Black □Navy Blue □White □Orange □Purple □Hunter □Turquoise □Pearl □Pewter □Ivory □Shell □Brown
□Tortoise □Charcoal □Pink Swirl □Lime Swirl □Light Pink □Fuchsia □Gun Metal
□Ocean □Yellow □Grey □Gold Swirl □Silver Swirl □Clear □Blonde Tortoise
□Red Sparkle □Clear Sparkle □ Green Sparkle
COLORFILL – Monogram Color or Pattern Colorfill
□Gold □Silver □Citron □Cobalt □White □Magenta □Teal
□Navy Blue □Red □Blush □Ivory □Orange □Black
PATTERN
□Floral □Zebra □Leopard □Houndstooth □Chains □Quatrefoil
ACRYLIC -Monogram or Single Initial
□ □ □ First Name Last Name Middle Name
Initial Reaction 303 Linwood Ave Fairfield, CT 06824
Phone (203)255-1200 Fax (203)255-1255 [email protected]
Store Name: ________________________________________________ Phone Number: _______________________________
Store Address: ___________________________________________________________________________________________
Drop Ship To: ____________________________________________________________________________________________
________________________________________________________________________________________________________
Store Credit Card Number: _______________________________________________ Order Date:_____________
NATALIE-Shopper
□Beige □Camel □Black □Navy
MONOGRAM - Font
□ Script □ Block □ Pattern
ACRYLIC – Background Color
□Red □Royal Blue □Black □Navy Blue □White □Orange □Purple □Hunter □Turquoise □Pearl □Pewter □Ivory □Shell □Brown
□Tortoise □Charcoal □Pink Swirl □Lime Swirl □Light Pink □Fuchsia □Gun Metal
□Ocean □Yellow □Grey □Gold Swirl □Silver Swirl □Clear □Blonde Tortoise
□Red Sparkle □Clear Sparkle □ Green Sparkle
COLORFILL – Monogram Color or Pattern Colorfill
□Gold □Silver □Citron □Cobalt □White □Magenta □Teal
□Navy Blue □Red □Blush □Ivory □Orange □Black
PATTERN
□Floral □Zebra □Leopard □Houndstooth □Chains □Quatrefoil
ACRYLIC -Monogram or Single Initial
□ □ □ First Name Last Name Middle Name
Initial Reaction 303 Linwood Ave Fairfield, CT 06824
Phone (203)255-1200 Fax (203)255-1255 [email protected]
Store Name: ________________________________________________ Phone Number: _______________________________
Store Address: ___________________________________________________________________________________________
Drop Ship To: ____________________________________________________________________________________________
________________________________________________________________________________________________________
Store Credit Card Number: _______________________________________________ Order Date:_____________
ELIZABETH- Tote
□Beige □Camel □Khaki
MONOGRAM - Font
□ Script □ Block □ Pattern
ACRYLIC – Background Color
□Red □Royal Blue □Black □Navy Blue □White □Orange □Purple □Hunter □Turquoise □Pearl □Pewter □Ivory □Shell □Brown
□Tortoise □Charcoal □Pink Swirl □Lime Swirl □Light Pink □Fuchsia □Gun Metal
□Ocean □Yellow □Grey □Gold Swirl □Silver Swirl □Clear □Blonde Tortoise
□Red Sparkle □Clear Sparkle □ Green Sparkle
COLORFILL – Monogram Color or Pattern Colorfill
□Gold □Silver □Citron □Cobalt □White □Magenta □Teal
□Navy Blue □Red □Blush □Ivory □Orange □Black
PATTERN
□Floral □Zebra □Leopard □Houndstooth □Chains □Quatrefoil
ACRYLIC -Monogram or Single Initial
□ □ □ First Name Last Name Middle Name
Initial Reaction 303 Linwood Ave Fairfield, CT 06824
Phone (203)255-1200 Fax (203)255-1255 [email protected]
Store Name:______________________________________________ Phone Number:__________________________________
Store Address ____________________________________________________________________________________________
Drop Ship To:_____________________________________________________________________________________________
______________________________________________________________________________________________
Store Credit Card Number:____________________________________________ Order Date:_____________
RESIN- CUFF BRACELET
□ CORAL (gold monogram) □ TORTOISE (gold monogram)
□ BLACK (gold monogram) □ WHITE (gold monogram)
Monogram Font Options
□ Script □ Block
Monogram or Single Initial
□ □ □ First Name Last Name Middle Name
Initial Reaction 303 Linwood Ave Fairfield, CT 06824
Phone (203)255-1200 Fax (203)255-1255 [email protected]
Store Name: ________________________________________________ Phone Number: _______________________________
Store Address: ___________________________________________________________________________________________
Drop Ship To: ____________________________________________________________________________________________
________________________________________________________________________________________________________
Store Credit Card Number: _______________________________________________ Order Date:_____________
SHOE CLIP
□ Shoe Clip Silver □ Shoe Clip Gold □ Shoe Clip with Black Bow □ Shoe Clip with Beige Bow
MONOGRAM - Font
□ Script □ Block □ Pattern □ Silhouette
ACRYLIC – Background Color
□Red □Royal Blue □Black □Navy Blue □White □Orange □Purple □Hunter □Turquoise □Pearl □Pewter □Ivory □Shell □Brown
□Tortoise □Charcoal □Pink Swirl □Lime Swirl □Light Pink □Fuchsia □Gun Metal
□Ocean □Yellow □Grey □Gold Swirl □Silver Swirl □Clear □Blonde Tortoise
□ Red Sparkle □Clear Sparkle □ Green Sparkle
COLORFILL - Monogram Color or Pattern Colorfill
□Gold □Silver □Citron □Cobalt □White □Magenta □Teal □Navy Blue □Red □Blush □Ivory □Orange □Black
PATTERN
□Floral □Zebra □Leopard □Chains □Quatrefoil □Houndstooth SILHOUETTE
□Crab (White/Red) □Crab (Red/White) □Anchor (Navy/White) □Anchor (White/Navy)
□Seahorse (Pink/Lime) □Seahorse (Lime/Pink) □Whale (Pink/Navy) □Whale (Navy/Pink)
□Fleur De Lis (Blonde/Tortoise) □Fleur De Lis (Tortoise/Blonde) □Starfish (Shell/Turquoise) □Starfish (Turquoise/Shell)
ACRYLIC -Monogram or Single Initial
□ □ □ First Name Last Name Middle Name
Initial Reaction 303 Linwood Ave Fairfield, CT 06824
Phone (203)255-1200 Fax (203)255-1255 [email protected]
Store Name: ________________________________________________ Phone Number: _______________________________
Store Address: ___________________________________________________________________________________________
Drop Ship To: ____________________________________________________________________________________________
________________________________________________________________________________________________________
Store Credit Card Number: _______________________________________________ Order Date:_____________
ACRYLIC – Jewelry Box or Frame
□ Jewelry Box □ Frame
ACRYLIC -Font
□ Script □ Block
ACRYLIC -Color
□Red □Royal Blue □Black □Navy Blue □White □Orange □Purple □Hunter □Turquoise □Pearl □Pewter □Ivory □Shell □Brown
□Tortoise □Charcoal □Pink Swirl □Lime Swirl □Light Pink □Fuchsia □Gun Metal
□Ocean □Yellow □Grey □Gold Swirl □Silver Swirl □Clear □Blonde Tortoise
□ Red Sparkle □Clear Sparkle □ Green Sparkle
ACRYLIC COLORFILL – Monogram or Name Color
□White □Cobalt □Teal □Black □Citron □Magenta □Ivory
□Gold □Silver □Orange □Red □Blush □Navy Blue
ACRYLIC -Monogram or Single Initial
□ □ □ First Name Last Name Middle Name
ACRYLIC -Nameplate or State
□□□□□□□□□□
Name must be 10 letters or less
Initial Reaction 303 Linwood Ave Fairfield, CT 06824
Phone (203)255-1200 Fax (203)255-1255 [email protected]
Store Name: ________________________________________________ Phone Number: _______________________________
Store Address: ___________________________________________________________________________________________
Drop Ship To: ____________________________________________________________________________________________
________________________________________________________________________________________________________
Store Credit Card Number: _______________________________________________ Order Date:_____________
ALEXANDRA TASSEL NECKLACE
SHAPE OPTIONS
□Hexagon □Filigree □Quatrefoil
□Circle with Gold Fill Monogram
Monogram -Font
□ Script □ Block
ACRYLIC -Color
□Red □Royal Blue □Black □Navy Blue □White □Orange □Purple □Hunter □Turquoise □Pearl □Pewter □Ivory □Shell □Brown
□Tortoise □Charcoal □Pink Swirl □Lime Swirl □Light Pink □Fuchsia □Gun Metal
□Ocean □Yellow □Grey □Gold Swirl □Silver Swirl □Clear □Blonde Tortoise
□ Red Sparkle □Clear Sparkle □ Green Sparkle
ACRYLIC -Monogram or Single Initial (Gold Fill ONLY!)
□ □ □ First Name Last Name Middle Name