Potholder Order Form

Artful Gift Home
Fill out the form, print out and mail to 99 Belgrade Ave., Boston, MA 02131 with check or money order. Make checks payable to Janice Williams. Call (617) 325-2388 if you have any questions.

Name_______________________________________________________________________________________

Company____________________________________________________________________________________

Addresss____________________________________________________________________________________

City, State, Zip________________________________________________________________________________

Telephone____________________________________________________________________________________

Email_______________________________________________________________________________________

All prices include shipping costs. We will notify you by email when your potholder has shopped.

Total Order $__________________

Indicate primary color you would like. All potholders are made with a star/moon theme fabric and a solid color. Indicate here if this is a gift and what you would like the card to say:

Greeting:______________________________________________________________________________________

_____________________________________________________________________________________________

Ship to:

Name:________________________________________________________________________________________

Address:______________________________________________________________________________________

City:________________________________________________State:______________Zip:____________________

Make checks payable to Janice Williams. Thank You for your order.