Add a JClaire Design to your own jeans!

Use our Swatch Shoppe to find a design you love!

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Personal Pair Order Form

It is as simple as 1, 2, 3 to add a JClaire design to a pair of jeans that you already own.

Step 1 – Review the JClaire Swatch Shoppe and select your desired design.

Step 2 – Complete the Personal Pair form – please be sure to include the corresponding number for your selected design.

Step 3 – Mail us your jeans! Please send a copy of the completed form with your jeans to help us keep track of your order.

LET'S CREATE TOGETHER!
Dragonfly by JClaire Personal Pair Order Form. Please consult the Swatch Shoppe at www.dragonflybyjclaire.com for design numbers and then print and mail this completed order form along with your jeans to JClaire, 1153 S. Scoville Ave, Oak Park IL 60304. Thanks for your order!
* Required
Name *
Your answer
Address *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Brand name of your jeans *
Your answer
Size of your jeans *
Your answer
Design number from JClaire Swatch Shoppe *
Your answer
Desired location of design on jeans *
Pockets, Cuffs, Tuxedo, Infinity - all over, Designers Choice
Required
Desired amount of distressing if any *
Painting Prices
Distressing Prices
Painting Price
Your answer
Distressing Price
Your answer
Price of Total Order (Painting + Distressing)
PLEASE MAKE CHECKS PAYABLE TO JOAN SMITH HARMON
Your answer
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