Printable Form
Bay River Pottery Order By Mail
107 s. water st.,  p.o. box 394, bayboro,  nc 28515-0394 (252) 745-4749

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Name   First           Initial       Last
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Address
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City                        State          Zip
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Daytime Telephone    Area Code    Number

Please fill in below if you want order sent to where you work or to another address.
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Name   First           Initial       Last
_______________________________________
Address
_______________________________________
City                        State          Zip
_______________________________________
Daytime Telephone    Area Code
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Make sure that the item description corresponds with the proper glaze code.  All pieces are not available in all colors and designs. Use Back Button to view previous page.
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|    ITEM / DESCRIPTION        |    COLOR / DESIGN   |        QTY. |     PRICE    |     TOTAL |
|_________________________|___________________|_________|__________|_________|
|_________________________|___________________|_________|__________|_________|
|_________________________|___________________|_________|__________|_________|
                                                           NC SHIPMENTS ADD 7% SALES TAX  _________|
                                                               SHIPPING & HANDLING $5.00 per box _________|
                                                                                                                       TOTAL ________|
Please indicate method of payment:  Do not send credit card information via email.
VISA ______      MASTERCARD ______
CHECK/MONEY ORDER ______Please make check out to: Bay River Pottery
We do not accept  C.O.D.'s  and please do not send cash.
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Card Number                                                                                                                                                Expires

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Signature                                   Date
*PLEASE ALLOW 2 TO 5 WEEKS DELIVERY
We accept Visa/MasterCard
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