Gifts of Love Pottery Ordering Form

2194 Wallace Lake Rd
West Bend, WI 53090
262-334-0173

E-mail: golpottery@yahoo.com
Web Page:
www.golpottery.com

Name:_____________________________________________________________

Business name or guild:_____________________________________________

Date:_______________________          Tax #:_______________________

Mailing address:____________________________________________________________________________

City:______________________________________   State:__________________________   ZIP:_________________

E-mail:_________________________________________________________  Phone:_________________________________________   

Make check payable to: Gifts of Love.  Extra shipping outside the USA.  Check or money order enclosed. Sorry no charges. US funds only.  Sorry no COD's.

Item # Description How many Items Price Total Price
         
         
         
         
         
         
         
         
         
         
         
         

Merchandise total_______________________________
Wisconsin residents 5% sales tax_______________________________
S&H see chart below_______________________________
Total_______________________________

Merchandise total Up to 9.99 10.00-14.99 15.00-19.99 20.00-24.99 25.00-29.99     30.00-39.99       40.00-49.99 50.00-69.99 70.00-89.99 90.00-129.99 130.00-179.99 over 180.00
S&H 4.95 5.95 6.95 7.95 8.95 9.95 10.95 11.95 13.95 14.95 18.95 10%
 

For shipping to Canada and overseas please inquire.