Customization Form

Order Number*

If you don't have an order number, please purchase here first.

Name/Nickname*

Charm Options

Birth Date (YYYY-MM-DD)* Birth Time (Optional) Birth Place (Optional)

Complete birth information ensures optimal crystal alignment:
- Date format must be YYYY-MM-DD (required)
- Time format: 24-hour system with timezone (recommended)
- Birth place helps precise astrological calculation

Gender

Occupation

Wrist Size (cm)*

Preferred Crystal Types (3-5 types)*

Primary Focus Intention*

Please specify your focus intention*

All information collected will be used solely for the creation of your custom piece. We adhere to strict privacy protection policies.

Country/region

Customization Form

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