Sixth Street Pottery Order Form

NAME: 

MAILING ADDRESS:

CITY:                                              STATE:                 ZIP:

PHONE NUMBER:                                  EMAIL:                                                    

PAYMENT METHOD (circle one):  Check   Money order  Credit Card

FOR CREDIT CARD PAYMENTS ONLY (Master Card & Visa only):
 TYPE (please circle one):     Master Card       Visa 
CREDIT CARD NUMBER:                                                                  EXP. DATE                    

Item #
Title
Key
Color
Quantity
Cost per Item
Item Total
#S2-BL Sweet Potato Ocarina F Soprano Blue   $37.00  
#S2-BR Sweet Potato Ocarina F Soprano Brown   $37.00  
#S3-BL Sweet Potato Ocarina C Alto Blue   $42.00  
#S3-BR Sweet Potato Ocarina C Alto Brown   $42.00  
#S4-BL Sweet Potato Ocarina F Tenor Blue   $60.00  
#S4-BR Sweet Potato Ocarina F Tenor Brown   $60.00  
#PEN-FB Pendant Whistle   Federal Blue   $12.00  
#PEN-SB Pendant Whistle   Speckled Blue   $12.00  
#PEN-K Pendant Whistle   Black   $12.00  
#PEN-HG Pendant Whistle   Green   $12.00  
#FACEW Face Whistles   Terra Cotta   $12.00  
#SMLBIRD Small Bird-Shaped Pendant Whistle   Unique   $18.00  
#LRGBIRD Large Bird-Shaped Pendant Whistle   Unique   $18.00  
#CB-Y Chirping Bird Whistles   Brown w/ blue seal   $20.00  
#CB-B Chirping Bird Whistles   Brown w/ yellow seal   $20.00  
#CB-FANCY Fancy Bird Whistle   Multi-colored   $45.00  
#PCWP Pre-Colombian Style Whistling Pot
   Multi-colored   $125.00  
#MFW Mayan Funeral Whistle   Brown, Hand   $210.00  
#MF/JF Muffle Flute   Blue, Brown   $60.00  
Subtotal       
   

Shipping Fee Orders Under $55.00( Subtotal x 0.15 )

Shipping Fee Orders Over $55.00 ( Subtotal x 0.10)

   
TOTAL (Subtotal + Shipping)
   

MO SALES TAX FOR MO RESIDENTS   (TOTAL x 0.0735)

   
MO RESIDENT TOTAL (Subtotal + Shipping + Tax)
  

Print and Mail
Print and mail this form with a check, money order, or credit card information to us at:
Sixth Street Pottery
1710 E Eldorado Drive
Columbia, MO 65202