Title: PellisCastleWorks

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Pelli's Castleworks People Questionnaire

Please answer the following questions to help with the design of your bracelet/necklace/belt:

Buyer's Information

Your Name:
Address:
City:
State:
Zip:
Email Address:
Telephone Number:

Stonewear Information


Bracelet/Necklace/Belt (please choose):
Your Birthdate: Please use 2-digit month/day and 4 digit year.
Favorite Color:
Neck/Arm/Waist Size (inches/cm):


Describe your personality.


Describe your general physical condition.


State and describe any emotional issues you want help with.
Describe any goals you have that you want help attaining (physical, emotional, mental, etc).
Pelli
images of stones

copyright 2006- 2007, Pelli's CastleWorks, pelliscastle@earthlink.net
photographs by Eric Roy, www.ericroy.com, Jewlery photos, Bryan Smith;
designed by subashini ganesan