POT-A-DOODLE DO PERSONALISED POTTERY GIFTS
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Pot-A-Doodle Do, Borewell, Scremerston, Berwick-upon-Tweed, Northumberland, UK, TD15 2RJ Tel: +44 (0)1289 307107
Printable Order Form
for Personalised Pottery Gifts
Your Details
Name:

Address:

Postcode:

Telephone number: 

 Delivery address if different
Name:

Address:

Postcode:

 
  Date pottery item required by:
Pottery Item:- Plate  Bowl   Vase  (£25 each)   Catalogue No. ____________
Design:-  
Colour Scheme:-
Greens & Browns   Blues & Purples   Yellows, Reds & Oranges
Message on plate (max 15 words):-  
   
   
For one-off design commission:-  
Details of required design & text - please include photographs or sketches if possible
(they will be returned)  
   
   
   
Delivery Time - min. 10 Days  
Please telephone if you would like to discuss the commission before ordering. 
Method of Payment:-
(Please tick)
Cheque
Visa
Mastercard
Please make cheques payable to
Christine Whiteford		    Postage and Packing  (UK only)  £5.00 
* Express Delivery (UK only)  £10.00
Credit Card Number:-   Total:  _ _ _ _ _ 
Valid from:-
Expiry date:-		 Please print this order form and, once
completed, send it to the above address.

Please telephone if you require an earlier
delivery time to discuss possibilities.
Credit Card Name:-
Signature:-
Date:-
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