initial reaction 303 linwood ave fairfield, ct...

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

ゴ1 ¼ ” Cut Out Pendant ゴ1 ½” Cut Out Monogram or Single Initial ゴ2” Cut Out Pendant

ゴNameplate ゴMicro Lowercase Single Initial ゴState

ACRYLIC に Tree Ornaments

ゴMonogram ゴSnowflake Single Initial (script only)ゴSingle Initial w/Border (script only)ゴFamily Name (script only)ゴFirst Name (script only)

�‘

12” Monogram Wreath ゴ12” Family Name Wreath ゴ14” Single Initial Wreath(Curlz font only)

-Color

ゴTortoise ゴCharcoal ゴPink Swirl ゴLime Swirl ゴLight Pink

ゴ Green Sparkle

ACRYLIC -Chain Style

ゴSterling Silver ゴGold Vermeil ゴRose Gold Vermeil

or Single Initial

ゴゴゴ




Store Address: ___________________________________________________________________________________________

Drop Ship To: _____________________________________ _______________________________________________________

________________________________________________________________________________________________________


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




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 -Monogram or Single Initial


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


BEZEL ACRYLIC COLOR – Background Color





BEZEL ACRYLIC COLORFILL – Monogram Color



MONOGRAM


(Single Initial)



Store Name:_________________________________ Phone Number:_____________________

Store Address or Drop Ship:_______________________________________________________

______________________________________________________________________________

Store Credit Card Number:_____________________________________ Order Date:_____________

CABANA ACRYLIC COLLECTION

□ Cabana Disc Necklace □ Cabana Disc Bracelet □Cabana Nameplate Necklace □ Cabana Nameplate Bracelet

□ Cabana Earrings (POST) □ Cabana Earrings (DANGLE) CABANA ACRYLIC -Font


CABANA ACRYLIC – Background Color





CABANA ACRYLIC COLORFILL – Monogram Color



CABANA ACRYLIC -Chain Color

□ Sterling Silver □Gold Vermeil □Rose Gold Vermeil

CABANA ACRYLIC -Monogram or Single Initial


CABANA ACRYLIC -Nameplate

□□□□□□□□□□ Name must be 10 letters or less




Store Address: ___________________________________________________________________________________________

Drop Ship To: _____________________________________ _______________________________________________________

________________________________________________________________________________________________________


Casey Bag

□Navy □Khaki □Camel □Red □Beige □Black

MONOGRAM - Font

□ Script □ Block □ Pattern

ACRYLIC – Background Color




□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 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 Address: ___________________________________________________________________________________________

Drop Ship To: _____________________________________ _______________________________________________________

________________________________________________________________________________________________________


ELIZABETH- Tote

□Beige □Camel □Khaki

MONOGRAM - Font










PATTERN







Store Address: ___________________________________________________________________________________________

Drop Ship To: ____________________________________________________________________________________________

________________________________________________________________________________________________________


Emma Bag

□ Camel □Coffee (Dark Brown) □Beige □Black

MONOGRAM - Font










PATTERN






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

Monogram or Single Initial






______________________________________________________________________________


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 _______

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 □Lime □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



Nameplate






______________________________________________________________________________


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 Address: ___________________________________________________________________________________________

Drop Ship To: ____________________________________________________________________________________________

________________________________________________________________________________________________________


GRACE KELLY-BAG

□ Black □ Green □ Brown □ Silver Grey

MONOGRAM - Font










PATTERN







Store Address: ___________________________________________________________________________________________

Drop Ship To: ____________________________________________________________________________________________

________________________________________________________________________________________________________


Jackie- FOLDOVER

□ Camel □ Beige □ Black □ Pink □ Silver Grey □ White

MONOGRAM - Font







COLORFILL - Monogram Color or Pattern Colorfill



PATTERN

□Floral □Zebra □Leopard □Chains □Quatrefoil □Houndstooth






Store Address: ___________________________________________________________________________________________

Drop Ship To: ____________________________________________________________________________________________

________________________________________________________________________________________________________


JULIA- BACKPACK

□ Black □ Camel □ Cream

MONOGRAM - Font










PATTERN







Store Address: ___________________________________________________________________________________________

Drop Ship To: ____________________________________________________________________________________________

________________________________________________________________________________________________________


KATE TOTE

□Red □Turquoise □Beige □Black □Khaki

MONOGRAM - Font










PATTERN







Store Address: ___________________________________________________________________________________________

Drop Ship To: ____________________________________________________________________________________________

________________________________________________________________________________________________________


LAUREN- BAG

□ Black □ Brown □ Cream

MONOGRAM - Font










PATTERN






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



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

Nameplate/Roman Numeral Necklace


Initial Reaction Order Form



______________________________________________________________________________

Store Credit Card Number:_________________________________Order Date:_____________

Upon signature this order will be done as written.

X

__________________________________________________

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.

___________________________________________________ __________________________________________

· All orders must be faxed (203)255-1255 or emailed to [email protected]. Phone orders will NOT be

accepted for these products.

· Minimum 3-4 week turnaround

· Each piece is hand cut. No two are alike.

· These are custom pieces there will be no returns.

· Gold Vermeil is made of sterling silver that is dipped in 14kt gold.

· Re-dipping is available for an additional charge.

· Avoid applying lotions, hair products, etc. while wearing any of IR’s jewelry as these may damage them. Initial Reaction will not refund or exchange jewelry that has been scratched or damaged by cleaning agents, cosmetics or other personal care products.

Initial Reaction Order Form

Store Name:____________________________________________________ Phone Number:_________________________

Store Address:_________________________________________________________________________________________

Drop ShipTo:__________________________________________________________________________________________

____________________________________________________________________________________________________

Store Credit Card Number:_____________________________________________Order Date:_____________

METAL – Vertical Multiple Nameplate Necklace (Names must be 10 letters or less Block Font Only)

□ Sterling Silver □ Gold Vermeil □ Rose Gold □ 16” Chain □ 18” Chain

___________________________________________________________________________________________________

Name 1 WITH Chain Name 2 Without Chain

□□□□□□□□□ / □□□□□□□□□□

Name 3 Without Chain Name 4 Without Chain

□□□□□□□□□ / □□□□□□□□□□ Name 5 Without Chain Name 6 Without Chain

□□□□□□□□□ / □□□□□□□□□□ Name 7 Without Chain Name 8 Without Chain

□□□□□□□□□ / □□□□□□□□□□

· All orders must be faxed (203)255-1255 or emailed to

[email protected].

· Phone orders will NOT be accepted for these products.

· Minimum 3-4 week turnaround

· Each piece is hand cut. No two are alike. These are custom pieces there will be no returns.

· Gold Vermeil is made of sterling silver that is dipped in 14kt gold.

· Re-dipping is available for an additional charge.

· Avoid applying lotions, hair products, etc. while wearing any of IR’s jewelry as these may damage them. Initial Reaction will not refund or exchange jewelry that has been scratched or damaged by cleaning agents, cosmetics or other personal care products.




Store Address: ___________________________________________________________________________________________

Drop Ship To: ____________________________________________________________________________________________

________________________________________________________________________________________________________


NATALIE - SHOPPER

□Beige □Black □Camel □Navy

MONOGRAM - Font










PATTERN






Store Name:______________________________________________ Phone Number:__________________________________

Store Address ____________________________________________________________________________________________

Drop Ship To:_____________________________________________________________________________________________

______________________________________________________________________________________________

Store Credit Card Number:____________________________________________ Order Date:_____________

RESIN CUFF BRACELET

Monogram Font Options


CUFF- Color Options

□Coral □Gold □Tortoise □White □Turquoise






Store Address: ___________________________________________________________________________________________

Drop Ship To: ____________________________________________________________________________________________

________________________________________________________________________________________________________


Samantha Clutch

□ Camel □Red □Coffee □Beige □Black

MONOGRAM - Font










PATTERN







Store Address: ___________________________________________________________________________________________

Drop Ship To: ____________________________________________________________________________________________

________________________________________________________________________________________________________


SCARLETT-CROSSOVER

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

MONOGRAM - Font










PATTERN







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







□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: ____________________________________________________________________________________________

________________________________________________________________________________________________________


SOPHIA-WALLET

□Beige □Black □Brown □Camel □Fuchsia □Navy □Royal Blue □Silver Grey □White

MONOGRAM - Font










PATTERN

□Floral □Zebra □Leopard □Chains □Quatrefoil □Houndstooth

ACRYLIC - Monogram or Single Initial




Store Name: ____________________________________________________ Phone Number: ___________________________

Store Address: ___________________________________________________________________________________________

Drop Ship To: ____________________________________________________________________________________________

Store Credit Card Number: ______________________________________________ Order Date:_____________

METAL- Stacked Monogram

□ Stacked Monogram

Metal Options

□Sterling Silver □Gold Vermeil

Font Options

□Block Only

Chain Styles

□16” Split Chain □18” Split Chain

Monogram

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: ____________________________________________________________________________________________

________________________________________________________________________________________________________


Wire Bracelet- Designs

□Owl □Pineapple □Starfish □Elephant □Cross

□Sea Turtle □Heart □Star □Other_______________________

Size

□ Small (7 ¾”) □ Medium (8 ¼”) □ Large (8 5/8”)

Wire Color

□ Silver Wire with Cream Fill □ Gold Wire with Gold Fill


□Seafoam □Lilac □Blue □Coral □Champagne □Tortoise

□Blonde Tortoise □Silver Mirror □Gold Mirror




Store Address: ___________________________________________________________________________________________

Drop Ship To: ____________________________________________________________________________________________

________________________________________________________________________________________________________


Wire Bracelet- Monogram


MONOGRAM - Font


Size


Wire Color






□Red Sparkle □Clear Sparkle □ Green Sparkle □Seafoam □Lilac □ Champagne

□Coral □Blue □ Gold Mirror (No Fill) □ Silver Mirror (No Fill)







Store Address: ___________________________________________________________________________________________

Drop Ship To: ____________________________________________________________________________________________

________________________________________________________________________________________________________


Wire Bracelet- Single Initial

□ Single Initial

Size


Wire Color



□Seafoam □Lilac □Blue □Coral □Champagne □Tortoise

□Blonde Tortoise □Silver Mirror □Gold Mirror




Store Address: ___________________________________________________________________________________________

Drop Ship To: ____________________________________________________________________________________________


Acrylic Stacked Monogram Necklace

MONOGRAM - Font

□ Stacked Block Monogram

MONOGRAM - Font

□ 16-18” Gold Vermeil Split Chain □ 16-18” Sterling Silver Split Chain






ACRYLIC -Monogram

First Name

Last Name

Middle Name




Store Address: ___________________________________________________________________________________________

Drop Ship To: ____________________________________________________________________________________________


Amy Bag

□Flowers/Beige □Flowers/Black

MONOGRAM - Font

□ Stacked Block Monogram □ 2 Initials Block









ACRYLIC -Monogram or 2 Initials

□ □

First Name

Last Name

Middle Name




Store Address: ___________________________________________________________________________________________

Drop Ship To: ____________________________________________________________________________________________


Anna Bag

□Black □Camel □White

MONOGRAM - Font















Store Address: ___________________________________________________________________________________________

Drop Ship To: ____________________________________________________________________________________________

________________________________________________________________________________________________________


Cece Tote

□Melon/Beige □ Yellow/Periwinkle □ Gold/Silver □Flowers/Beige □Flowers/Black

MONOGRAM - Font

□ Block










□ □ □ First Name Middle Name Last Name




Store Address: ___________________________________________________________________________________________

Drop Ship To: ____________________________________________________________________________________________


Tara Acrylic Bag

□Blue □ Brown □White □Black

MONOGRAM - Font







□□□□□□□□□□ Name or Word

initial reaction 303 linwood ave fairfield, ct...

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