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Please send me the following items:

Quantity	Item	Price Each	Extension
	In Pennsylvania, please add 6% state sales tax.	Tax
	Please check shipping chart for appropriate cost	Shipping
		Total

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Comments:

All pottery is made individually by hand. Each piece takes 8 to 12 weeks to complete.
Please keep this in mind when ordering.

You have two other options for submitting your order:

• Fax
  Print this form and fax your order to us at (570) 523-8722.
• U.S. Postal Service
  

  Print this form and mail it to:

  LION PAW POTTERY for the Penn State Fan
  

  Jackie McCord ‘71
  

  1430 Mapledale Road
  

  Elizabethtown, Pennsylvania 17022
  

  (717) 689 - 3139