Order Form

First Name: 
Last Name: 
Address: 
City:     State:      Zip: 
Telephone: 
Email: 
Type of piece(s) you wish to order.
You may use CTRL click to select more than one: 
Color of Clay requested:
Light Gray
Terra Red
Dark Brown
Glaze requested:
Blue-Gray
Cobalt Blue
Hunter Green
Teal
Jade
White
Gray
Black
Cinnamon
Theme of your piece:
Type a brief description of the theme you want, or describe your custom image (additional cost).
Comments or Questions:
Enter any other information or questions here.
Date needed by (if applicable): 
Once we receive your form, we will be in contact to discuss your order. If you don't hear from us, please call or email to be sure we received your order form. Thank you!

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Alicia W. Daily
4171 Roaring Run Road
Goode, VA  24556

HANDSONPOTTERY@aol.com

540-587-1999 / 540-586-4030

For more information on horses for sale and our Connemara stallion, please visit CadyODalyFarm.net
All pages and images © 2004-2007 Hands On Pottery