Order Form

Thank you for your order!  Please fill in this form and submit your order.  You can also print out one of the downloadable forms (use either the Word or PDF document to the right) and snail mail to:

Purple Door Pottery
PO Box 10495
San Jose, CA 95157

email: anne@purpledoorpottery.com
website: www.purpledoorpottery.com
phone: (408) 772-9275

Name: Date:
Billing Information Address:

Shipping Information (if different from Billing)
Address:

City, State, Zip Code City, State, Zip Code
Phone number:
Email:
   Add me to your email list

Please do not send payment at this time.
I will confirm this order with you via phone and estimate the shipping and handling costs. All orders within California are subject to the current sales tax of San Jose, CA. Payments can be made by credit card or check/money order. Please feel free to contact me with questions. Allow up to 2 weeks for in-stock items; 6-8 weeks for new pieces.



Pottery Item
Inventory # Fill in only if item description includes inventory #
Glaze Choice:

Please see Glazes page for swatches

Item Price $

Quantity

 
 
Pottery Item
Inventory # Fill in only if item description includes inventory #
Glaze Choice: Please see Glazes page for swatches
Item Price $

Quantity

 
 
Pottery Item
Inventory # Fill in only if item description includes inventory #
Glaze Choice: Please see Glazes page for swatches
Item Price $

Quantity

 
 
Pottery Item
Inventory # Fill in only if item description includes inventory #
Glaze Choice: Please see Glazes page for swatches
Item Price $

Quantity

 
 

I'd like to insure my shipment. Please let me know the added cost.

 

Comments:


 

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Downloadable
order form:

order form-pdf

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