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Name _______________________
Address:_____________________
____________________________
____________________________
Telephone ____________________
Fax _________________________
Email ________________________
CC # _____/_____/______/_______
Expiration Date _________________
Signature _____________________
Lettering Colors Available
I Black - used unless specified
otherwise
II Green - III Red - IV Purple
- V Blue
(+$4 if not black)
Message Bowl __________$_____
Custom Porcelainspirations
_$_____
Total Price ______________$_____
Packing/Shipping (see chart)_$_____
Tax (NYS add 8.25%) ______$_____
Total Due ______________$_____
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Message
Bowl Or Vessel
Phrases (1-100)
Inside (choose 11)____________________________________
Center (choose 1 )_____________________________________
Outside (choose 6) ____________________________________
Your Own phrases_____________________________________
___________________________________________________
___________________________________________________
_________________________ __________________________
Size (G-WC)/ _________________/Price $__________________
Lettering Color (I-V) ___________________________________
(+$4 if not black) ___________________$__________________
Price ____________________________$__________________
Total For Message Bowl Or Vessel______$__________________
(Appropriate single words will be added if
needed for better spacing - at no charge)
Shipping & Handling
before sale tax
Order Total
0-$25.00
$25.01-$50
$50.01-$75
$75.01-$100
$100.01-$150
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Add
6.50
8.50
10.50
13.00
17.00
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Order Total
150.01-200.00
200.01-250.00
250.01-300.00
300.01-350.00
350.01
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Add
$22
$27
$33
$39
(call)
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