HomeItem for SaleOrder Form

 

Order Form
Please complete the form below to order an item. We will reply with an order confirmation, payment instructions and other helpful information. If you have trouble with the below form, please e-mail the below information to MosaicsByJeff@aol.com.

NOTE: If you wish to purchase more than one item, you must fill out 1 order form for each item.

   
Name:
Address:
City:
State:
Zip Code:
Email Address:
Phone:
Item #:
Price:
Color Preference:
(for custom orders only)
How did you hear about MosaicsByJeff.com?

Comments:
 

Prices include shipping and handling to addresses in the Continental U.S. Any addresses outside the U.S. should email Mosaicsbyjeff@aol.com for additonal postage and handling cost.

Colors may vary from the digital reproduction shown here.
All items are subject to change without notice.
The listed prices are base prices for unique items shown.  If any custom order exceeds this base pricing, you will be notified for approval.
All orders are subject to availability.
Pottery is not intended for use with food or beverage.