on-line Order form

Printable Order Form | Order Form Instructions

Select the specification of your plaque:

Shape:   Motif:
         
Size:   Layout - lettering and/or numbers
         
Orientation:
(Ovals only)		   1. Top:
         
Glaze Colour:   2. Middle:
         
Letter/No/Motif Colour:   3. Bottom:
         
Click on a plaque shape for help with lettering/number/motif configurations: Click for Oval Configuration Help Click for Round Configuration Help Click for Rectangle Configuration Help Click for Square Configuration Help
 
Oval
 Round Rectangle Square
PURCHASER DETAILS
Name:
Address:
Post Code:
Phone:
Email:
Please indicate your preferred Payment Method

Indicate below your preferred contact time
- we will confirm by email and provide PayPal instructions

Please contact me:
[Click a radio button]




 
 

Important Information:
when you click the submit button you should get a message Submission Successful. If you get the message Error 403 your Firewall is concealing your identity and will not send the information.
If this is the case you can:
1) click here to order by post;
2) email info@potteryhousesigns.com with your order; or
3) telephone us with your order +44 (0)1945 430880

 

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