Electronic Order Form

Horse Hair Pottery Order Form

Please complete the form below.
Print 1 copy for your files.
Print 1 copy to include with your horse hair.

Contact and Shipping  Information
First Name:
Last Name:
ZIP Code:
Pottery Order
Please select pottery size (note cost does not include shipping & handling)
Small (approx
4 inches) $40
Large (approx
8 inches) $80
medium (approx
6.5 inches) $65
Leaf (14.5 x
14.5 inches) $95 (with stand)
Please print horse’s name:
For pottery only – Choose one  additional decoration made from tail hair.
NOTE: additional hair will be needed for extra decoration.  (Not available for leaf pottery.)
pottery neck braid    OR pottery neck tassel
Is this pottery piece  (check all that apply)
a  gift a  memorial
special  occasion other
By what date do you need your piece?  (Please allow  minimum of 4 weeks)
How did you find out about   Earth and Wheel Pottery?
advertisement  Where?
word  of mouth
show - Show Name:
Remember to print a copy to go with your horse hair submission before submitting.