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Mail Form To: |
Heirloom Pottery
2896 Havenwood Dr White Lake, MI 48383-3902 Phone: 248-684-4111 http://www.heirloompottery.com/ ** PLEASE PRINT CLEARLY! ** |
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| Please make checks or money orders payable to: Heirloom Pottery | |||
| Charge cards accepted: Visa and MasterCard | |||
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- [ ] Check here if you wish item to be shipped to address other than indicated above ... please write person's name and their shipping address on back of this form.
- We must include sales tax for Michigan residents
- THANK YOU FOR YOUR ORDER!
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