Stoneware Anniversary or Wedding Plate Order Form
A secure form on which you can safely send personal information

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Select the plate you want to order from the following options:

 

This selection is the 10" Stoneware Plate "Tree of Life'"Design" for $140.00

pltreeoflife1a1

Please choose from drop-down list


 

*If purchased in PA, add 6% Sales Tax
*Shipping/handling will be added when we have received the shipping address.

Please provide the names and date as you wish them to appear on the plate - usually first names only

Bride's Name or
Anniversary Wife's Name

Groom's Name or
Anniversary Husband's Name

Optional: Last name on rim

Wedding Date

Number of Years for Anniversary

Date Needed

Choose text for plate

"To love and be loved is the greatest joy on earth."
"The Lord bless you and keep you."


NOTE: Please allow 6 weeks from time of order. If order is received too late to finish by needed date we can send a certificate announcing that a gift is forthcoming.
Check the box to receive a certificate. If you want the gift certificate sent to the couple indicate in box below their name, address and who we shall say the gift is from.

Your Comments or Questions

Billing & Shipping Information

Name

Mailing Address

City, State, Zip

Home Phone

and/or Work Phone

Email Address

Please check one

Please ship I will pick up at shop in Bally PA

Shipping address if different from your contact information

Name

Address

City, State & Zip Code

Country

Payment


Choose one of the following payment options:

 

PAY BY PAYPAL - No PayPal account necessary for credit card payments. We will email an invoice for the total amount including the shipping costs. (If you are not familiar with PayPal, click icon to learn more)

Acceptance Mark

PAY BY CHECK - We will email an invoice for the total amount including the shipping costs.

 

 

Click to view my before sending order.


Please review all the information for accuracy and print for your records before submitting.

Thank you.

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By Roy K. Yoder. March 2007 Oakleaf Pottery All rights reserved SSL Certificate

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