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Colony Plaza 2602 West 8th Street Erie, Pennsylvania 16505
(814) 836-0345 1-800-466-3577 (Toll Free)

Order Form for Custom Work

Please mail to Allen Stoneware Gallery 2602 West 8th Street  Erie, Pennsylvania 16505
SOLD TO: SHIPPED TO:
   
   
   
Today's Date

DESCRIPTION

PRICE

ITEM:

   

TRIM COLOR  (circle two)

blue brown green rose black
Information on Plate Top  
Information on Plate Bottom  
    Amount  
Name on Credit Card   Tax   6% in Pa.  
    Shipping $15.00
VISA M/C DIS AMEX Expiration Date ____/____
TOTAL:  
Credit Card Number
                               
Prices include lettering, hand painting and plate stand. Please prepay with credit card or a check.  50% Non-refundable fee for custom work.