Please fill in below if you want order sent to where you work or to
another address.
_______________________________________
Name First
Initial Last
_______________________________________
Address
_______________________________________
City
State Zip
_______________________________________
Daytime Telephone Area Code
___________________________
Make sure that the item description corresponds with the proper glaze
code. All pieces are not available in all colors and designs. Use
Back Button to view previous page.
_______________________________________________
| ITEM / DESCRIPTION
| COLOR / DESIGN |
QTY. | PRICE |
TOTAL |
|_________________________|___________________|_________|__________|_________|
|_________________________|___________________|_________|__________|_________|
|_________________________|___________________|_________|__________|_________|
NC SHIPMENTS ADD 7% SALES TAX _________|
SHIPPING & HANDLING $5.00 per box _________|
TOTAL ________|
Please indicate method of payment: Do not send credit card
information via email.
VISA ______ MASTERCARD ______
CHECK/MONEY ORDER ______Please make check out to: Bay River Pottery
We do not accept C.O.D.'s and please do not send cash.
_________________________________________________________
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|___|___|
Card Number
Expires
________________________________________
Signature
Date
*PLEASE ALLOW 2 TO 5 WEEKS DELIVERY
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