Collectibles Order Form  Page 1 of 2
ITEM H & W PRICE PATTERNS & COLORS Pattern HOW    MANY? TOTAL PRICE 2006 Santa 7" Tall $68.00 Slate Blue w /dog       2007 Santa 6" Tall $58.00 Red       2008 Santa 5 1/2" Tall $55.00 Cream w / dog and kitten       Set of three Santas 5 1/2 " to 7" Tall $170.00 See above for colors and descriptions.   Animal Bank 7" to 8" Tall $55.00 Folk Art: Cat, Rabbit, Rooster, Frog, or Pig       Table Clock 5" x 6" $32.00 Folk Art:  Cat, Rabbit, Rooster, or Fish on top in blue or green.   Teapot 4 Cup 8" Tall, Animal on Lid $60.00 Folk Art: Cat, Rabbit, Rooster or Fish on lid in blue or green.       Sugar Bowl 4" x 5" Animal on Lid $30.00 Folk Art: Cat, Rabbit, Rooster, or Fish on lid in blue or green.       Creamer 4 1/4" x 3 1/2" $17.00 Cat, Rabbit, Rooster, or Fish in Blue or Green       Folk Art Salt & Pepper Sets 4" to 5" Tall $35.00 Chickens, Rabbits, or Cats       Folk Art Covered Butter Dish 4" Tall x 6 1/2" Dia. With Lid $40.00 Cat, Rabbit, Rooster, or Fish Animal handle on Lid in Blue or Green       Folk Art Coffee Mug 4 1/4" x 3 1/4 $16.00 Cat, Rabbit, Rooster, or Fish in Blue or Green       Small Plate 6" $15.00 Folk Art, Blue or Green Rim, Cat, Fish, Pig, Rabbit, Rooster Floral or Sheep       Medium Plate 8" $30.00       Large Plate 10" $40.00   Candy Jar 6" Tall $46.00 Folk Art, Animal Handle on Lid in Blue or Green   Cookie Jar 7" x 10" $72.00 Folk Art, Animal Handle on Lid in Blue or Green             Total: $
			Collectibles Order Form  Page 2 of 2
						Sub Total:__________ Sales tax: MI res. add 6%     __________ Shipping: Min.$9.00 or 10%      __________ Total:        __________
	Ship To: Name:  ____________________________  Street: ______________________________________ City & State: _________________________________  Zip Code: __________________________ Phone: (___) ________________________  Order Date:_________________________ Bill To:  Omit if same as above Name:  ____________________________  Street: ______________________________________ City & State: _________________________________  Zip Code: __________________________ Phone: (___) ________________________                   Order Date:_________________________
		Form of payment: Enclosed is my check or money order for $__________ Please make payable to: Prairie Springs Pottery Visa___ Master Card ___ Credit card No. _ _ _ _ _ _ _ - _ _ _ _ _ _ _ - _ _ _ _ _ _ _ - _ _ _ _ _ _ _  Expiration Date: _ _ _ _ _ _ _ Mail to: Prairie Springs Pottery 5240 E. Reading Rd. Osseo, MI 49266.            Please allow 6 to 12 weeks for shipping, especially on special orders.   Please Note! We accept Master Card and Visa only. We are unable to process credit card sales on-line.  We ship via U.P.S.   If your merchandise arrives  damaged, please save the original carton and packing materials and notify us within five (5) days and we will send you a replacement.