Blue Moon Designs | Pocket Belt Order Form

Illuminated Fantasy Clothing and Accessories

by Katherine the Great

Blue Moon Designs pocket belt order form

If you are interested in having a custom-built pocket belt, please complete this form and click 'submit' to send to Katherine!

Hover over the symbol to view an example image that will help you in decorating your custom pocket belt.

NAME

Last
First

PHONE NUMBER

Include Area Code- (###) ###-####

EMAIL

An email is required.Invalid format.

STREET ADDRESS

Required.

Street Address

Address Line 2

State

City

Please select an item.

Country

Postal / Zip Code

BASIC BELT OPTIONS

(Starts at $65, additional options are priced as marked)

EXACT WAIST SIZE

WAIST SIZE

BASE FABRIC

(please contact Katherine for fabric availability before you submit this form)

SQUARE OR POINTED BASE?
Example of Square or Pointed Base
Square
Pointed

POCKET FABRIC

(Please contact Katherine for fabric availability before you submit this form)

With snaps on large pockets?
Example
Yes
No

EXTRAS

Please choose from the following belt features below.

SMALL SQUARE STACKED POCKET? (add $5)

Yes
No

WITH SNAPPING TRIANGULAR FLAP? (add $5)

Yes
No

SNAPPING LOOP ON ONE SIDE? (no charge)

Yes
No

D-RINGS ON THE SIDE FRONT? (no charge)

Yes
No

D-RING COLOR?

RIVETS? (add $5)

Yes
No

RIVET COLOR?

GROMMET AND SNAPS COLOR?

LACING RIBBON COLOR?

GARTER STRAPS? (add $15)

Yes
No

HANGING CHAIN DETAIL? (add $15)

Yes
No

WITH CHARMS?
(Please contact Katherine for charm options and availability)

OTHER CHARMS?

OPTIONAL TOOL POCKETS

Please choose no more than two ($5 for two pockets)

Small triangle pocket (for small scissors or pliers)

Large triangle pocket (for large scissors or pliers) Note: the large triangle pocket will replace a large standard pocket on one side of the belt.

Cylindrical pocket (for flashlight, or other cylindrical tools)

Deep rectangular pocket (for leatherman, or pocket knife, or other rectangular tools)

Flat rectangular pocket (for crochet hooks, pens, markers, or paintbrushes)

Minimum number of selections not met.Maximum number of selections exceeded.

COMMENTS

(optional)

Blue Moon Designs
Illuminated Fantasy Clothing by Katherine Becvar

Oakland, CA 94609

858.699.3495

katherine AT blue-moon-designs.com

(replace the AT with @)