Hoyman/Browe Studio - Order Form
Print a copy of this form. Fill out completely.
Call for shipping quote. Mail to Hoyman/Browe Studio.		 Hoyman/Browe Studio
323 N. Main St.
Ukiah, CA 95482
phone (707) 468-8835
fax (707) 468-1212
hoyman@earthenware.com
Date: ___________
Billing Address

Name:________________________________
street_________________________________
city_____________________state/province____
zip/postal code_________country________________
phone #_____________________________
Shipping Address (if other than Billing Address)

Name:________________________________
street_________________________________
street_________________________________
city_____________________state/province____
zip/postal code_________country________________
Quantity Name of Item               Size           Pattern                   Price/Item Total Amount
           
           
           
           
           
           
           
         Subtotal  
         Tax (CA =7.75%)  
         Shipping: Call  
        Total Enclosed  

Payment Option:
__ Check*
__ Money Order
__ Credit Card
Credit Card Information: __Visa __MasterCharge

Card # _______________________ Expiration Date: ___________

Cardholder signature:

CVV(CVC)Code___________

______________________________________

Name as it appears on card:__________________________________
Make checks and money orders payable to :

Hoyman/Browe Studio
323 N. Main St.
Ukiah, CA 95482
Special Instructions :____________________________________
_____________________________________________________
_____________________________________________________
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*Note: Orders paid by check will be delayed until the check has cleared.