Stoneware Plate Order


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

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

This selection is the 10" Stoneware Plate "Tree of Life'"Design" for $135.00
Please choose from drop-down list
This selection is the 10" Stoneware Plate "Abundance" Design" for $135.00
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

Please choose one of the following payment options. We accept the following credit cards

Credit Card -- When you send your order you will be directed to a page where you can make payment.

Pay by Check to "Oakleaf Pottery."

Pay by PayPal Click icon to learn more

You may pay the total amount or make a down payment:

$75 Plate Downpay
Prepay Total

Click to view my before sending order.

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

Thank you.