Order Form
Ancient Art Pottery
PO Box 877
Ridgeley, WV 26753-0877
Name
Address
City, ST, Zip
Phone #
e-mail
Item #	Color	------------Description------------	Quantity	Price Each	---Total---
			Total
			6% Tax (WV only)
			Order Total

Last Updated on 9/2/2002
By Anita Rickenberg