initial reaction 303 linwood ave fairfield, ct...

Initial Reaction 303 Linwood Ave Fairfield, CT 06824

Phone (203)255-1200 Fax (203)255-1255 sales@initialreaction.net

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

Store Name: _____________________________________________ Phone Number: _____________________________

Store Address _______________________________________________________________________________________

Drop Ship To: ________________________________________________________________________________________

___________________________________________________________________________________________________

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

ACRYLIC COLOR

□ Ocean □ Yellow □ Grey □ Gold Swirl □ Silver Swirl □ Clear □ Clear Sparkle

ACRYLIC –Color Fill

□ Gold □ Silver □ Green □ Blue □ White □ Hot Pink □ Turquoise □ Black □ Orange MONOGRAM

(Single Initial)

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

CABANA ACRYLIC -Color

□ 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

CABANA ACRYLIC -Nameplate

______________________________________________________________________________

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

Chain Styles

□ 16” Pendant Chain □ 18” Pendant Chain □ 16” Split Chain □ 18” Split Chain

Monogram or Single Initial

Nameplate

□□□□□□□□□□

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

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

______________________________________________________________________________

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

Monogram or Single Initial:

□ □ □ Names or Words:

__________________________________________________________________________________________________________

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_____

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)

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

*(For Bar Necklace only First Name Middle Name Last Name)

Nameplate/Roman Numeral Necklace

Store Address: ___________________________________________________________________________________________

Drop Ship To: ____________________________________________________________________________________________

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.

_____________________________________________________________________________________________

Store Address: ___________________________________________________________________________________________

Drop Ship To: ____________________________________________________________________________________________

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.

Store Address: ___________________________________________________________________________________________

Drop Ship To: ____________________________________________________________________________________________

________________________________________________________________________________________________________

GRETA-TOTE

□ White □ Royal Blue □ Tan

MONOGRAM - Font

□ Script □ Block □ Pattern

ACRYLIC BACKGROUND - Color

□ 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

Store Address: ___________________________________________________________________________________________

Drop Ship To: ____________________________________________________________________________________________

________________________________________________________________________________________________________

Jackie- Foldover

□ White □ Pink □ Orange □ Camel □ Beige

MONOGRAM - Font

Monogram or Pattern– Colorfill

Pattern –

Store Address: ___________________________________________________________________________________________

Drop Ship To: ____________________________________________________________________________________________

________________________________________________________________________________________________________

SOPHIA-WALLET

□ White □ Royal Blue □ Fuchsia □ Silver Grey

MONOGRAM - Font

Monogram – Colorfill

Pattern –

Store Address: ___________________________________________________________________________________________

Drop Ship To: ____________________________________________________________________________________________

________________________________________________________________________________________________________

AVA- Woven Bag

□ Cream □ Brown □ Black

MONOGRAM - Font

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

Store Address: ___________________________________________________________________________________________

Drop Ship To: ____________________________________________________________________________________________

________________________________________________________________________________________________________

GRACE KELLY-BAG

□ Black □ Green □ Brown □ Silver Grey

MONOGRAM - Font

PATTERN

Store Address: ___________________________________________________________________________________________

Drop Ship To: ____________________________________________________________________________________________

________________________________________________________________________________________________________

JULIA- BACKPACK

□ Black □ Camel □ Cream

MONOGRAM - Font

PATTERN

Store Address: ___________________________________________________________________________________________

Drop Ship To: ____________________________________________________________________________________________

________________________________________________________________________________________________________

LAUREN- BAG

□ Black □ Brown □ Cream

MONOGRAM - Font

PATTERN

Store Address: ___________________________________________________________________________________________

Drop Ship To: ____________________________________________________________________________________________

________________________________________________________________________________________________________

SCARLETT-CROSSOVER

□ Black □ Teal □ Camel □ Pink □ Cream □ Silver Grey

MONOGRAM - Font

PATTERN

□ □ □

First Name Last Name Middle Name

Store Address: ___________________________________________________________________________________________

Drop Ship To: ____________________________________________________________________________________________

________________________________________________________________________________________________________

VIVIEN- PURSE

□Teal □Navy □Beige □Coral □Camel □Black

MONOGRAM - Font

PATTERN

Store Address: ___________________________________________________________________________________________

Drop Ship To: ____________________________________________________________________________________________

________________________________________________________________________________________________________

NATALIE-Shopper

□Beige □Camel □Black □Navy

MONOGRAM - Font

PATTERN

Store Address: ___________________________________________________________________________________________

Drop Ship To: ____________________________________________________________________________________________

________________________________________________________________________________________________________

ELIZABETH- Tote

□Beige □Camel □Khaki

MONOGRAM - Font

PATTERN

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

Store Address: ___________________________________________________________________________________________

Drop Ship To: ____________________________________________________________________________________________

________________________________________________________________________________________________________

SHOE CLIP

□ Shoe Clip Silver □ Shoe Clip Gold □ Shoe Clip with Black Bow □ Shoe Clip with Beige Bow

MONOGRAM - Font

□ Script □ Block □ Pattern □ Silhouette

□ 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)

Store Address: ___________________________________________________________________________________________

Drop Ship To: ____________________________________________________________________________________________

________________________________________________________________________________________________________

ACRYLIC – Jewelry Box or Frame

□ Jewelry Box □ Frame

ACRYLIC -Font

ACRYLIC -Color

ACRYLIC COLORFILL – Monogram or Name Color

□White □Cobalt □Teal □Black □Citron □Magenta □Ivory

□Gold □Silver □Orange □Red □Blush □Navy Blue

ACRYLIC -Nameplate or State

□□□□□□□□□□

Name must be 10 letters or less

Store Address: ___________________________________________________________________________________________

Drop Ship To: ____________________________________________________________________________________________

________________________________________________________________________________________________________

ALEXANDRA TASSEL NECKLACE

SHAPE OPTIONS

□Hexagon □Filigree □Quatrefoil

□Circle with Gold Fill Monogram

Monogram -Font

ACRYLIC -Color

ACRYLIC -Monogram or Single Initial (Gold Fill ONLY!)

initial reaction 303 linwood ave fairfield, ct...

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