Emerald Forest Pottery

14286 Rd 224  •  Cecil, Ohio 45821  •  419-399-2757
Ordered By:

Name:___________________________________________

Address:_________________________________________

City:____________________________________________

State/ZIP:________________________________________

Phone:(______)________________________________

ShipTo:

Name:___________________________________________

Address:_________________________________________

City:____________________________________________

State/ZIP:________________________________________

Phone:(______)________________________________
Color of Trim:_______Item:_____________Cost:______

Color of Trim:_______Item:_____________Cost:______

Color of Trim:_______Item:_____________Cost:______

Color of Trim:_______Item:_____________Cost:______

                                                               Total:______________

                                           Ohio Residents add 7%:_______

                                                Pkg. & Shipping:__________

                                                               Total:______________

How would you like it personalizedL__________________

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Portrait Tiles  $49 + Pkg. & Shipping of $9.50 2 Gallon Heirloom Crocks $99.00
+ Pkg. & Shipping of $15.50
1 Gallon Jug $99 + Pkg. & Shipping of $12.50 2 Gallon Library Crocks $99.00
+ Pkg. & Shipping of $15.50
1 Gallon Crock  $69 + Pkg. & Shipping of $12.50 2 Church Crock  $79.00
+ Pkg. & Shipping of $15.50
Cookie Jar  $89 + Pkg. & Shipping of $12.50 Wedding & Anniv. Crocks  $79
+ Pkg. & Shipping of $12.50
Cookie Jar  w/out lid $79 + Pkg. & Shipping of $12.50 Wedding & Anniv. Cookie Jars $89 
+ Pkg. & Shipping of $12.50
2 Gallon Home Crocks$99 + Pkg. & Shipping of $15.50 Church Crocks $79 and Cookie Jar $89
+ Pkg. & Shipping of $12.50
2 Gallon Home Crocks $99.00 + $15.50 shipping Tile Trays  $129
+ Pkg. & Shipping of $12.50
2 Gallon Name Crocks $99.00 + Pkg. & Shipping of $15.50 Communion Sets $129 
+ Pkg. & Shipping of $12.50

Orders are shipped UPS or by US Mail  •  Personal Check or Money Order Please
Please Allow 4-6 weeks as all items are handmade  •  Ohio Residents add 7% Sales Tax