ORDER FORM

Print and mail order form and personalization information (if required) to:
Country Bits and Blessings
P.O. Box 2281...Crosby, TX 77532

Make  check or money order payable to "Country Bits and Blessings"
If you would like to pay by credit card...Visa or MC
...include information below.
Allow 2-3 weeks for delivery.
Texas residents must add 6.25% tax.
Alaska and Hawaii...contact us for shipping costs.
For orders shipped outside USA...contact us for shipping costs.
(281) 328-1730 or e-mail us pottery101@ev1.net
Please provide a daytime phone number where you can be reached.

 



SHIP ORDER TO:

Name Address
City,ST,Zip Phone
Email
Special Instructions

SAMPLE ORDER:

Qty. Item # Description w/ Design Choice Price
1 #12 pie plate - apple w/ green trim $24.00
Personalization Verse
none requested When friends gather...hearts warm

BEGIN ORDERING HERE:

Qty. Item # Description w/ Design Choice Price
       
Personalization Verse
   

 

Qty. Item # Description w/ Design Choice Price
       
Personalization Verse
   

 

Qty. Item # Description w/ Design Choice Price
       
Personalization Verse
   

 

Qty. Item # Description w/ Design Choice Price
       
Personalization Verse
   

 

Qty. Item # Description w/ Design Choice Price
       
Personalization Verse
   

Shipping charges are included in the price of each item.

Subtotal  
Texas Residents Add 6.25% Tax  
CONTACT US FOR DISCOUNT
ON 5 OR MORE ITEMS
 
TOTAL  

For credit card orders please provide following information...
Visa/Master Card #____________________Exp. Date_____________
Cardholder's Name__________________________________________
Billing Address_____________________________________________
Phone Number______________________________________________

                  
                                                                                
If you would like to send this order as a gift or to a different address...please include following information....
Name                                                                                                                                  
Address                                                                                                                            
City, State & Zip                                                                                                         
Gift Card Message_________________________________________
                                                                                                                                            
                                                                                                                                             

SATISFACTION GUARANTEED...If you are unhappy with an item, contact us for return authorization within 15 days.  Purchase price will be refunded minus any shipping charges.