Order Form

 

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If you wish to mail us your order, we've included this convenient order form to print.   Send this form along with check or money order, or Visa/Mastercard number with your signature to: Petree Pottery, Rt. 1 Box 138, Wilburton, OK 74578.

Date____/____/____                                        Method of Payment:(check one) Name__________________________________   _____Cashier's Check/M.O. (enclosed) Address_____________________Apt.______       _____Personal Check (enclosed) City______________________State_______       _____Visa Zip_________Phone(___)________________       _____Mastercard E-mail________________________________      Credit Card Number

                          ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___    

Ship to Address (If different than above.)            Expiration Date of Credit Card

Name_________________________________                   ___ ___/ ___ ___     Address_______________________Apt._____      Cardholder's Signature City______________________State________       ________________________________ Zip_____________                            

Item                                       Design               Quantity         Price          Total
         
         
         
         
         
         
         
Shipping Charges                                                                  TOTAL ____________
$0 to $20 add $10.00             Oklahoma Residents Add 8% Sales Tax ____________
$21 to $50 add $20.00                                         Shipping Charges ____________
$51 to $100 add $30.00                                             Grand Total    ____________
Over $100 please contact us.

 

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Last modified: February 19, 2001