ORDER FORM (Return to Previous Page)

To order: Print this form, fill it out and mail it. Postage charges below are for U.S. orders only.
Please send your order via Mail to: Becky Hughes, 548 Polstontown Road, Russell Springs, KY 42642-8722

Ordered by:

Name:

Address:

Phone or e-mail:

Payment Method: _____Check; ____Money Order

Ship to:

Name:

Address:

Phone or e-mail:

Tax Exemption No: ______________

Item#	Description	Unit Cost	Quantity	Total

If subtotal is $21.00or less, add $3.50 for postage*	Subtotal:
$21.01 - $50.00, add $5.00 for postage*	Shipping:
Orders over $51.00, add 10% of order for postage	KY add 6% tax:
*Small orders will be sent by USPS.	Total:

SPECIAL INSTRUCTIONS:

Shipment complaints must be received within 10 days of delivery.
Many gourd shapes are unique. It may not be possible to use the same shape of gourd
as seen in the photos accompanying this order form.
Prices are subject to change without notice.
Breakage Claims are not the responsibility of the artist. Claims should be submitted
to the appropriate carrier immediately upon the arrival of merchandise.
If you are not pleased with your gourd(s) you may return for a refund of purchase price
minus shipping charge within 30 days of delivery. No questions asked.