Salamander Pottery Order Form

We do not yet have a secure web site, so we cannot take credit card information from our order page. To place an order, fill out the form below and click the Submit Form button. If you are paying by credit card, please call with your credit card information so that we can process your order. If you are paying by check, you can submit the form electronically or print it and send it with your check. Thank you for your business!

Name*:
Company:
Address 1:
Address 2:
City: State/Region:
Postal Code: Country:
Email*:    
Phone*: Fax:
Item No. Quantity Description   Price Extended Price
  Subtotal:
Washington State residents must pay 8.5% sales tax. No taxes are required  from residents of other states. Tax:
  Shipping:
  Total:
Method of payment:   Check (mail to payment to Salamander Pottery)
   Credit card (call Salamander Pottery with credit card information)

     

* Fields marked with an asterisk are required.