Mala Inquiry Form

Thank you for your interest in working together in creation of your mala.

Please answer the following questions so I can get to the heart of what is calling. I’ll be in touch soon!

Name

First Name

Last Name

What is the intention/mantra you have for your mala?

Example: I want this mala to help me be courageous at my job. Example: "Aham Prema" I want to remember that I am love.

Are any stones or colors you find particularly attractive or repelling?

Example: I love blues and turquoise and not really into pinks and purples.

How do you see yourself working with this mala?

Check all that apply

Around my neck, statement piece

Wrapped around wrist, movement friendly

Both

Other

Is there a date you need this by?

Example: My birthday is coming up on....

YYYY

Wrist measurement in cm

Any other questions & comments:

Shipping address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country